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Potential entrapment of an accessory superficial peroneal sensory nerve at the lateral malleolus: a cadaveric case report and review of the literature.
J Foot Ankle Surg. 2014 Jan-Feb; 53(1):92-5.JF

Abstract

The superficial peroneal nerve presents great anatomic variability regarding its emergence from the crural fascia, course, branching pattern, and distribution area. Entrapment neuropathy of the superficial peroneal nerve has been documented in the published data, resulting in pain and paresthesia over the dorsum of the foot. We report a case of a female cadaver in which an accessory superficial peroneal sensory nerve was encountered. The nerve originated from the main superficial peroneal nerve trunk, proximal to the superficial peroneal nerve emergence from the crural fascia, and followed a subfascial course. After fascial penetration, the supernumerary nerve was distributed to the skin of the proximal dorsum of the foot and lateral malleolar area. A potential entrapment site of the nerve was observed at the lateral malleolar area, because the accessory nerve traveled through a fascial tunnel while perforating the crural fascia, and presented with distinct post-stenotic enlargement at its exit point. The likely presence of such a very rare variant and its potential entrapment is essential for the physician and surgeon to establish a correct diagnosis and avoid complications during procedures to the foot and ankle region.

Authors+Show Affiliations

Department of Anatomy, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. Electronic address: g_paraskevas@yahoo.gr.Department of Anatomy, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.Department of Anatomy, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.Department of Anatomy, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23954064

Citation

Paraskevas, George K., et al. "Potential Entrapment of an Accessory Superficial Peroneal Sensory Nerve at the Lateral Malleolus: a Cadaveric 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. 53, no. 1, 2014, pp. 92-5.
Paraskevas GK, Natsis K, Tzika M, et al. Potential entrapment of an accessory superficial peroneal sensory nerve at the lateral malleolus: a cadaveric case report and review of the literature. J Foot Ankle Surg. 2014;53(1):92-5.
Paraskevas, G. K., Natsis, K., Tzika, M., & Ioannidis, O. (2014). Potential entrapment of an accessory superficial peroneal sensory nerve at the lateral malleolus: a cadaveric 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, 53(1), 92-5. https://doi.org/10.1053/j.jfas.2013.06.012
Paraskevas GK, et al. Potential Entrapment of an Accessory Superficial Peroneal Sensory Nerve at the Lateral Malleolus: a Cadaveric Case Report and Review of the Literature. J Foot Ankle Surg. 2014 Jan-Feb;53(1):92-5. PubMed PMID: 23954064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Potential entrapment of an accessory superficial peroneal sensory nerve at the lateral malleolus: a cadaveric case report and review of the literature. AU - Paraskevas,George K, AU - Natsis,Konstantinos, AU - Tzika,Maria, AU - Ioannidis,Orestis, Y1 - 2013/08/15/ PY - 2012/01/12/received PY - 2013/8/20/entrez PY - 2013/8/21/pubmed PY - 2014/6/28/medline KW - 5 KW - accessory sensory branch KW - entrapment KW - fascial tunnel KW - superficial peroneal nerve SP - 92 EP - 5 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 - 53 IS - 1 N2 - The superficial peroneal nerve presents great anatomic variability regarding its emergence from the crural fascia, course, branching pattern, and distribution area. Entrapment neuropathy of the superficial peroneal nerve has been documented in the published data, resulting in pain and paresthesia over the dorsum of the foot. We report a case of a female cadaver in which an accessory superficial peroneal sensory nerve was encountered. The nerve originated from the main superficial peroneal nerve trunk, proximal to the superficial peroneal nerve emergence from the crural fascia, and followed a subfascial course. After fascial penetration, the supernumerary nerve was distributed to the skin of the proximal dorsum of the foot and lateral malleolar area. A potential entrapment site of the nerve was observed at the lateral malleolar area, because the accessory nerve traveled through a fascial tunnel while perforating the crural fascia, and presented with distinct post-stenotic enlargement at its exit point. The likely presence of such a very rare variant and its potential entrapment is essential for the physician and surgeon to establish a correct diagnosis and avoid complications during procedures to the foot and ankle region. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/23954064/Potential_entrapment_of_an_accessory_superficial_peroneal_sensory_nerve_at_the_lateral_malleolus:_a_cadaveric_case_report_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(13)00261-5 DB - PRIME DP - Unbound Medicine ER -