Surgical outcomes of patients with peroneal nerve injury: a clinical study

• Autorzy: Buyukgol H. , Ilik M.K.
• Języki publikacji: EN

Abstrakty

EN

Background: Nervus peroneus communis (NPC) is the most frequently entrapped nerve in the lower extremity. Although first-line treatments for peroneal nerve injury include conservative methods, patients who do not show benefit are further treated with surgical decompression. Aim of the study: The purpose of this study was to investigate the clinical and functional results of patients who were surgically treated for peroneal nerve injury. Material and methods: This retrospective study reports on 20 consecutive patients who underwent surgery for peroneal nerve damage between March 2012 and December 2015. Visual Analogue Scale (VAS) pain scores and neurological examinations were evaluated preoperatively and at the last postoperative visit (mean followup period = 10.2 months). All parameters were analyzed using Mann-Whitney U tests and results were considered significant using a p<0.05 threshold. Results: According to the British Medical Council Motor Strength Evaluation Scale, 80% (n = 16) of patients showed an improvement and 20% showed no change (n = 4). VAS pain scores significantly decreased (p<0.05) from the preoperative (M ± SD = 5.9 ± 0.4) to the postoperative time point. (1.6 ± 0.3). Conclusions: Our data suggest positive results for surgical removal of reversible causes among peroneal nerve damage cases who do not respond to conservative treatment.

• Wydawca: -
• Czasopismo: Medical Science Pulse
• Rocznik: 2020
• Tom: 14
• Numer: 2
• Opis fizyczny: p.19-22,fig.,ref.

Twórcy

autor

Buyukgol H.

• Department of Neurology, KTO Karatay University affiliated Konya Medicana Hospital, Konya, Turkey

autor

Ilik M.K.

• Department of Neurosurgery, Farabi Hospital, Konya, Turkey

Bibliografia

• 1. Corey RM, Salazar DH. Entrapment of the superficial peroneal nerve following a distal fibula fracture. Foot Ankle Spec 2017; 10: 69–71.
• 2. Myers RJ, Murdock EE, Farooqi M, Van Ness G, Crawford DC. A unique case of common peroneal nerve entrapment. Orthopedics 2015; 38: 644–646.
• 3. Solmaz I, Cetinalp EN, Göçmez C, Albayrak BS, Kural C, Kaya HS, et al. Management outcome of peroneal nerve injury at knee level: experience of a single military institution. Neurol Neurochir Pol 2011; 45: 461–466.
• 4. Krych AJ, Giuseffi SA, Kuzma SA, Stuart MJ, Levy BA. Is peroneal nerve injury associated with worse function after knee dislocation? Clin Orthop Relat Res 2014; 472: 2630–2636.
• 5. Kitamura T, Morimoto D, Kim K, Morita A. Peroneal nerve entrapment neuropathy induced by playing the drum. Acta Neurochir 2016; 158: 967–968.
• 6. Moller BN, Kadin S. Entrapment of the common peroneal nerve. Am J Sports Med 1987; 15: 90–91.
• 7. Morimoto D, Isu T, Kim K, Sugawara A, Yamazaki K, Chiba Y, et al. Microsurgical decompression for peroneal nerve entrapment neuropathy. Neurol Med Chir 2015; 55: 669–673.
• 8. Garg B, Poage C. Peroneal nerve palsy: evaluation and management. J Am Acad Orthop Surg 2016; 24: 49.
• 9. Cruz-Martinez A, Arpa J, Palau F. Peroneal neuropathy after weight loss. J Peripher Nerv Syst 2000; 5: 101–105.
• 10. Lee YS, Kim JE, Kwak JH, Wang IW, Lee BK. Foot drop secondary to peroneal intraneural cyst arising from tibiofibular joint. Knee Surg Sports Traumatol Arthrosc 2013; 21: 2063–2065.
• 11. Park JH, Hozack B, Kim P, Norton R, Mandel S, Restrepo C, et al. Common peroneal nerve palsy following total hip arthroplasty: prognostic factors for recovery. J Bone Joint Surg Am 2013; 95: 551–555.
• 12. Shahar E, Landau E, Genizi J. Adolescence peroneal neuropathy associated with rapid marked weight reduction:case report and literature review. Eur J Paediatr Neurol 2007; 11: 50–54.
• 13. Tehli O, Celikmez RC, Birgili B, Solmaz I, Celik E. Pure peroneal intraneural ganglion cyst ascending along the sciatic nerve. Turk Neurosurg 2011; 21: 254–258.
• 14. Mont MA, Dellon AL, Chen F, Hungerford MW, Krackow KA, Hungerford DS. The operative treatment of peroneal nerve palsy. J Bone Joint Surg Am 1996; 78: 863–869.
• 15. Preston DC, Shapiro BE. Peroneal nerve palsy. In: Preston DC, Shapiro BE, eds. Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations, 3rd ed. London (UK): Elsevier/Saunders; 2013.

Identyfikatory

DOI

10.5604/01.3001.0014.2734