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Management and patients perspective regarding a common peroneal nerve schwannoma: a rare cause of lower leg pain in a young individual.
BMJ Case Rep. 2017 Oct 04; 2017BC

Abstract

The differential diagnosis of exercise-induced lower leg pain in young individuals is extensive and includes entities such as chronic exertional compartment syndrome, popliteal arterial entrapment syndrome, cystic adventitial disease, medial tibial stress syndrome and tibial stress fractures. Peripheral nerve-related lower leg pain syndromes are unusual. We present a 41-year-old woman who was diagnosed with an ancient schwannoma of the right common peroneal nerve (CPN) as a rare cause of lower leg pain. This case report provides simple diagnostic bedside tools that may be used to diagnose CPN abnormalities. Altered lateral lower leg skin sensation was found using a simple cotton swab, whereas a nodule was palpated at the fibular head. A positive Tinel sign indicated CPN dysfunction. MRI confirmed the diagnosis. Surgical resection is simple and curative.

Authors+Show Affiliations

Department of Surgery, Máxima Medisch Centrum, Veldhoven, Noord Brabant, The Netherlands.Department of Musculoskeletal Medicine, Cheiron Medisch Centrum Waalre, Waalre, Noord Brabant, The Netherlands.Department of Surgery, Máxima Medisch Centrum, Veldhoven, Noord Brabant, The Netherlands.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28978583

Citation

van Zantvoort, Aniek Pm, et al. "Management and Patients Perspective Regarding a Common Peroneal Nerve Schwannoma: a Rare Cause of Lower Leg Pain in a Young Individual." BMJ Case Reports, vol. 2017, 2017.
van Zantvoort AP, Cuppen P, Scheltinga MR. Management and patients perspective regarding a common peroneal nerve schwannoma: a rare cause of lower leg pain in a young individual. BMJ Case Rep. 2017;2017.
van Zantvoort, A. P., Cuppen, P., & Scheltinga, M. R. (2017). Management and patients perspective regarding a common peroneal nerve schwannoma: a rare cause of lower leg pain in a young individual. BMJ Case Reports, 2017. https://doi.org/10.1136/bcr-2017-220704
van Zantvoort AP, Cuppen P, Scheltinga MR. Management and Patients Perspective Regarding a Common Peroneal Nerve Schwannoma: a Rare Cause of Lower Leg Pain in a Young Individual. BMJ Case Rep. 2017 Oct 4;2017 PubMed PMID: 28978583.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management and patients perspective regarding a common peroneal nerve schwannoma: a rare cause of lower leg pain in a young individual. AU - van Zantvoort,Aniek Pm, AU - Cuppen,Paul, AU - Scheltinga,Marc R, Y1 - 2017/10/04/ PY - 2017/10/6/entrez PY - 2017/10/6/pubmed PY - 2018/5/31/medline KW - Surgery, sports and exercise medicine KW - neurology KW - pain KW - peripheral nerve disease JF - BMJ case reports JO - BMJ Case Rep VL - 2017 N2 - The differential diagnosis of exercise-induced lower leg pain in young individuals is extensive and includes entities such as chronic exertional compartment syndrome, popliteal arterial entrapment syndrome, cystic adventitial disease, medial tibial stress syndrome and tibial stress fractures. Peripheral nerve-related lower leg pain syndromes are unusual. We present a 41-year-old woman who was diagnosed with an ancient schwannoma of the right common peroneal nerve (CPN) as a rare cause of lower leg pain. This case report provides simple diagnostic bedside tools that may be used to diagnose CPN abnormalities. Altered lateral lower leg skin sensation was found using a simple cotton swab, whereas a nodule was palpated at the fibular head. A positive Tinel sign indicated CPN dysfunction. MRI confirmed the diagnosis. Surgical resection is simple and curative. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/28978583/Management_and_patients_perspective_regarding_a_common_peroneal_nerve_schwannoma:_a_rare_cause_of_lower_leg_pain_in_a_young_individual_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=28978583 DB - PRIME DP - Unbound Medicine ER -