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Thread common peroneal nerve release-a cadaveric validation study.
Acta Neurochir (Wien). 2019 09; 161(9):1931-1936.AN

Abstract

OBJECTIVE

To determine if the thread release technique can be applied to common peroneal nerve entrapment at the fibular neck.

METHODS

The thread common peroneal nerve release was performed on 15 fresh frozen cadaveric lower extremity specimens. All procedures were performed under ultrasound guidance and immediately underwent post-procedural gross anatomic inspection for completeness of decompression and presence or absence of iatrogenic neurovascular injury.

RESULTS

All 15 specimens demonstrated complete transection of the deep fascia of the peroneus longus overlying the common peroneal nerve. The transections extended to the bifurcation of the superficial peroneal and deep peroneal nerves. There was no evidence of any iatrogenic damage to the neurovascular bundle or adjacent tendons. The average operating time was less than 30 min.

CONCLUSION

This cadaveric validation study demonstrates the accuracy of the thread common peroneal nerve release. Future pilot studies are warranted to ensure the safety of this procedure in the clinical setting.

Authors+Show Affiliations

Department of Rehabilitation Medicine Division of PM&R, University of Minnesota, 420 Delaware St. SE MMC 297, Minneapolis, MN, 55455, USA.BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, 2401 Holmgren Way, Green Bay, WI, 54304, USA. tctrpaper@yahoo.com.BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, 2401 Holmgren Way, Green Bay, WI, 54304, USA.BayCare Clinic Neurological Surgery, Aurora/BayCare Health, 2845 Greenbrier Rd Ste 330, Green Bay, WI, 54311, USA.Department of Rehabilitation Medicine Division of PM&R, University of Minnesota, 420 Delaware St. SE MMC 297, Minneapolis, MN, 55455, 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
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

31270613

Citation

McCool, Logan, et al. "Thread Common Peroneal Nerve Release-a Cadaveric Validation Study." Acta Neurochirurgica, vol. 161, no. 9, 2019, pp. 1931-1936.
McCool L, Guo D, Guo D, et al. Thread common peroneal nerve release-a cadaveric validation study. Acta Neurochir (Wien). 2019;161(9):1931-1936.
McCool, L., Guo, D., Guo, D., Harrison, R., Tonkin, B., Senk, A., & Kliot, M. (2019). Thread common peroneal nerve release-a cadaveric validation study. Acta Neurochirurgica, 161(9), 1931-1936. https://doi.org/10.1007/s00701-019-03998-y
McCool L, et al. Thread Common Peroneal Nerve Release-a Cadaveric Validation Study. Acta Neurochir (Wien). 2019;161(9):1931-1936. PubMed PMID: 31270613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thread common peroneal nerve release-a cadaveric validation study. AU - McCool,Logan, AU - Guo,Danqing, AU - Guo,Danzhu, AU - Harrison,Richard, AU - Tonkin,Brionn, AU - Senk,Alexander, AU - Kliot,Michel, Y1 - 2019/07/04/ PY - 2019/06/13/received PY - 2019/06/25/accepted PY - 2019/7/5/pubmed PY - 2020/5/27/medline PY - 2019/7/5/entrez KW - Guo Technique KW - Interventional ultrasound KW - Musculoskeletal ultrasound KW - Nerve decompression KW - TCPNR KW - Thread common peroneal nerve release SP - 1931 EP - 1936 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 161 IS - 9 N2 - OBJECTIVE: To determine if the thread release technique can be applied to common peroneal nerve entrapment at the fibular neck. METHODS: The thread common peroneal nerve release was performed on 15 fresh frozen cadaveric lower extremity specimens. All procedures were performed under ultrasound guidance and immediately underwent post-procedural gross anatomic inspection for completeness of decompression and presence or absence of iatrogenic neurovascular injury. RESULTS: All 15 specimens demonstrated complete transection of the deep fascia of the peroneus longus overlying the common peroneal nerve. The transections extended to the bifurcation of the superficial peroneal and deep peroneal nerves. There was no evidence of any iatrogenic damage to the neurovascular bundle or adjacent tendons. The average operating time was less than 30 min. CONCLUSION: This cadaveric validation study demonstrates the accuracy of the thread common peroneal nerve release. Future pilot studies are warranted to ensure the safety of this procedure in the clinical setting. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/31270613/Thread_common_peroneal_nerve_release_a_cadaveric_validation_study_ L2 - https://dx.doi.org/10.1007/s00701-019-03998-y DB - PRIME DP - Unbound Medicine ER -