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A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg.
Acta Neurochir (Wien). 2019 10; 161(10):2133-2139.AN

Abstract

BACKGROUND

After successful applications of the ultra-minimally invasive thread transecting technique (Guo Technique) for both thread carpal tunnel release and thread trigger finger release, we hypothesized that this technique could be used for superficial peroneal nerve release in the lower leg by selective crural fasciectomy. This study is aimed at testing the operative feasibility of performing the thread superficial peroneal nerve release (TSPNR) procedure in cadavers.

METHODS

The TSPNR procedure was performed on 15 fresh frozen cadaveric lower-extremity specimens under ultrasound guidance. All cadaveric specimens were dissected and visually assessed immediately after the procedures.

RESULTS

All 15 legs demonstrated a complete transection of the crural fasciae along the course of the superficial peroneal nerve (SPN) including where it penetrated and traversed the crural fascia. There was no evidence of any iatrogenic damage to the neurovascular bundle or adjacent tendons. The average operating time was less than 20 min.

CONCLUSION

This cadaveric study demonstrated that the technique of TSPNR was accurate, reliable, and feasible while causing no injury to adjacent neurovascular structures and avoiding having to make a skin incision. Further studies are warranted to verify the results of this study before implementing this new technique in the clinical setting.

Authors+Show Affiliations

BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, BayPark 2401 Holmgren Way, Green Bay, WI, 54304, USA.BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, BayPark 2401 Holmgren Way, Green Bay, WI, 54304, USA. tctrpaper@yahoo.com.BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, BayPark 2401 Holmgren Way, Green Bay, WI, 54304, USA.Department of Rehabilitation Medicine Division of PM&R, University of Minnesota, 420 Delaware St. SE MMC 297, Minneapolis, MN, 55455, USA.Guilford Orthopedics and Sports Medicine Center, 1915 Lendew Street, Greensboro, NC, 27408, USA.Department of Rehabilitation Medicine Division of PM&R, University of Minnesota, 420 Delaware St. SE MMC 297, Minneapolis, MN, 55455, USA.Department of Neurosurgery, Stanford University, 300 Pasteur Dr, Palo Alto, CA, 94304, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31123834

Citation

Guo, Danzhu, et al. "A Cadaveric Study Using the Ultra-minimally Invasive Thread Transection Technique to Decompress the Superficial Peroneal Nerve in the Lower Leg." Acta Neurochirurgica, vol. 161, no. 10, 2019, pp. 2133-2139.
Guo D, Guo D, Harrison R, et al. A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg. Acta Neurochir (Wien). 2019;161(10):2133-2139.
Guo, D., Guo, D., Harrison, R., McCool, L., Wang, H., Tonkin, B., & Kliot, M. (2019). A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg. Acta Neurochirurgica, 161(10), 2133-2139. https://doi.org/10.1007/s00701-019-03944-y
Guo D, et al. A Cadaveric Study Using the Ultra-minimally Invasive Thread Transection Technique to Decompress the Superficial Peroneal Nerve in the Lower Leg. Acta Neurochir (Wien). 2019;161(10):2133-2139. PubMed PMID: 31123834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg. AU - Guo,Danzhu, AU - Guo,Danqing, AU - Harrison,Richard, AU - McCool,Logan, AU - Wang,Hao, AU - Tonkin,Brionn, AU - Kliot,Michel, Y1 - 2019/05/23/ PY - 2019/03/28/received PY - 2019/05/03/accepted PY - 2019/5/28/pubmed PY - 2020/6/11/medline PY - 2019/5/25/entrez KW - Guo technique KW - Leg pain KW - Superficial peroneal nerve entrapment release KW - Thread transecting procedure KW - Ultra-minimally invasive procedure KW - Ultrasound-guidance SP - 2133 EP - 2139 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 161 IS - 10 N2 - BACKGROUND: After successful applications of the ultra-minimally invasive thread transecting technique (Guo Technique) for both thread carpal tunnel release and thread trigger finger release, we hypothesized that this technique could be used for superficial peroneal nerve release in the lower leg by selective crural fasciectomy. This study is aimed at testing the operative feasibility of performing the thread superficial peroneal nerve release (TSPNR) procedure in cadavers. METHODS: The TSPNR procedure was performed on 15 fresh frozen cadaveric lower-extremity specimens under ultrasound guidance. All cadaveric specimens were dissected and visually assessed immediately after the procedures. RESULTS: All 15 legs demonstrated a complete transection of the crural fasciae along the course of the superficial peroneal nerve (SPN) including where it penetrated and traversed the crural fascia. There was no evidence of any iatrogenic damage to the neurovascular bundle or adjacent tendons. The average operating time was less than 20 min. CONCLUSION: This cadaveric study demonstrated that the technique of TSPNR was accurate, reliable, and feasible while causing no injury to adjacent neurovascular structures and avoiding having to make a skin incision. Further studies are warranted to verify the results of this study before implementing this new technique in the clinical setting. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/31123834/A_cadaveric_study_using_the_ultra_minimally_invasive_thread_transection_technique_to_decompress_the_superficial_peroneal_nerve_in_the_lower_leg_ L2 - https://dx.doi.org/10.1007/s00701-019-03944-y DB - PRIME DP - Unbound Medicine ER -