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Damage to the superficial peroneal nerve in operative treatment of fibula fractures: straight to the bone? Case report and review of the literature.
J Foot Ankle Surg. 2012 Sep-Oct; 51(5):684-6.JF

Abstract

Ankle fractures are a significant part of the lower extremity trauma seen in the emergency department. Neurologic complications of ankle fracture surgery are infrequently described but account for significant morbidity. The risk of nerve injury is increased for the Blair and Botte type B pattern of the intermediate cutaneous dorsal nerve branch, crossing the distal fibula from posterior to anterior (at 5 to 7 cm from malleolar tip). This pattern is present in about 10% to 15% of patients. Injuries to the superficial peroneal nerve and its branches negatively influence the outcome. Early recognition and protection might reduce the incidence of superficial peroneal nerve injuries during open reduction and internal fixation of lateral malleolus fractures. We describe 2 surgically treated ankle fractures with superficial peroneal nerve branch (intermediate cutaneous dorsal nerve) involvement and review the current literature.

Authors+Show Affiliations

Department of Surgery-Traumatology, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

22789487

Citation

Halm, Jens A., and Tim Schepers. "Damage to the Superficial Peroneal Nerve in Operative Treatment of Fibula Fractures: Straight to the Bone? Case Report and Review of the Literature." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 51, no. 5, 2012, pp. 684-6.
Halm JA, Schepers T. Damage to the superficial peroneal nerve in operative treatment of fibula fractures: straight to the bone? Case report and review of the literature. J Foot Ankle Surg. 2012;51(5):684-6.
Halm, J. A., & Schepers, T. (2012). Damage to the superficial peroneal nerve in operative treatment of fibula fractures: straight to the bone? Case report and review of the literature. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 51(5), 684-6. https://doi.org/10.1053/j.jfas.2012.05.021
Halm JA, Schepers T. Damage to the Superficial Peroneal Nerve in Operative Treatment of Fibula Fractures: Straight to the Bone? Case Report and Review of the Literature. J Foot Ankle Surg. 2012 Sep-Oct;51(5):684-6. PubMed PMID: 22789487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Damage to the superficial peroneal nerve in operative treatment of fibula fractures: straight to the bone? Case report and review of the literature. AU - Halm,Jens A, AU - Schepers,Tim, Y1 - 2012/07/11/ PY - 2012/04/10/received PY - 2012/7/14/entrez PY - 2012/7/14/pubmed PY - 2013/1/9/medline SP - 684 EP - 6 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 51 IS - 5 N2 - Ankle fractures are a significant part of the lower extremity trauma seen in the emergency department. Neurologic complications of ankle fracture surgery are infrequently described but account for significant morbidity. The risk of nerve injury is increased for the Blair and Botte type B pattern of the intermediate cutaneous dorsal nerve branch, crossing the distal fibula from posterior to anterior (at 5 to 7 cm from malleolar tip). This pattern is present in about 10% to 15% of patients. Injuries to the superficial peroneal nerve and its branches negatively influence the outcome. Early recognition and protection might reduce the incidence of superficial peroneal nerve injuries during open reduction and internal fixation of lateral malleolus fractures. We describe 2 surgically treated ankle fractures with superficial peroneal nerve branch (intermediate cutaneous dorsal nerve) involvement and review the current literature. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/22789487/Damage_to_the_superficial_peroneal_nerve_in_operative_treatment_of_fibula_fractures:_straight_to_the_bone_Case_report_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(12)00212-8 DB - PRIME DP - Unbound Medicine ER -