Peroneal compartment syndrome secondary to rupture of the peroneus longus. A case report.

Davies, Judy

doi:10.2106/00004623-197961050-00027

Cited by 69 publications

(24 citation statements)

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“…Data regarding morphometry is also infrequent [12,17]. The majority of descriptions refer to the attachments of the LPM, tendon injury or the influence of the LPM on foot biomechanics [3,7,9,11,15,16,20,22].…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the long peroneal muscle of the leg

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Anatomy of the long peroneal muscle of the leg

et al. 2017

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“…Furthermore, the involvement of the peroneal muscles only is more unusual; in fact, we were able to find only 11 adult cases of acute peroneal com-partmental syndrome in the literature [1][2][3]6], A common feature of all these cases be sides paralysis of peroneal muscles was also a disturbance of sensitivity concerning both the territories innervated by the deep and superficial peroneal nerve due to an undeter mined involvement of the peroneal nerves at the anterolateral compartment.…”

Section: Discussionmentioning

confidence: 99%

“…The anterolateral compart ment of the leg, where the peroneal muscles are situated, is more seldom involved than the anterior one. Only few cases of acute peroneal or anterolateral compartmental syn drome in adults are known [1][2][3]6], In the case described, a necrosis with the swelling of peroneal muscles is associated with the acute compression of the common peroneal nerve and subsequent paralysis of the anterior mus cles of the legs.…”

Section: Introductionmentioning

confidence: 99%

Acute Peroneal Compartmental Syndrome

Arancio¹,

Bongiovanni²,

Grandis³

1985

Eur Neurol

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Among the compartmental syndromes the necrosis of peroneal muscles is unusual. We report a case in which the swelling of peroneal muscle causes a compression of the common peroneal nerve below the peroneal head. A disturbance of both the motility and sensibility of the deep and superficial peroneal nerve is present with different pathogenesis. In fact, EMG suggested a muscular damage of the peroneal compartment and a denervation of the pretibial muscle. Interfascicular neurolysis along the peroneal nerve was performed to decompress the common and the deep peroneal nerve. A recovery in the territory of the tibialis anterior deep peroneal nerve confirmed the different mechanisms of paralysis.

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“…Diagnostic delays are common [10][11][12][13][14][15] and often lead to permanent impairment, as illustrated in the cases described here. In patients with peroneal compartment syndrome, peroneal muscle damage leads to weakness and instability of the hindfoot.…”

Section: Complicationsmentioning

confidence: 98%

Missed acute isolated peroneal compartment syndrome

Ebenezer

Dust

2002

CJEM

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This paper outlines 3 cases of acute isolated peroneal (lateral) compartment syndrome following exertion, minor trauma or overuse. Compartment syndromes are usually associated with crush injuries or fractures; they are an uncommon development following minor trauma or overuse. In acute isolated peroneal compartment syndrome the diagnosis is often delayed, resulting in permanent impairment. Persistent or worsening pain following a minor injury or overuse is typical, and the initial physical findings are often nonspecific, although swelling and tenderness out of proportion to the described injury are common. Marked increase in pain with passive inversion and dorsiflexion of the ankle should suggest the diagnosis. In cases that present late or where the diagnosis is initially missed, there is often a common peroneal nerve palsy. As with all compartment syndromes, prompt diagnosis and surgical decompression is necessary to prevent permanent impairment. RÉSUMÉLe présent article dresse les grandes lignes de trois cas isolés et aigus de syndrome de la loge péronière (latérale) à la suite d'un effort, d'un traumatisme mineur ou d'un usage abusif. Ce syndrome est généralement associé à une blessure par écrasement ou à une fracture et est inhabituel dans le cadre d'un traumatisme mineur ou d'un usage abusif. Dans ces cas, le diagnostic est retardé, entraînant un handicap permanent. Une douleur persistante ou qui empire à la suite d'une blessure mineure ou d'un usage abusif est typique et les constatations physiques initiales sont souvent non spécifiques, bien que l'oedème et la sensibilité au toucher hors de proportion par rapport à la blessure décrite soient couramment rencontrés. Une exacerbation de la douleur à l'inversion passive et à la dorsiflexion de la cheville devrait permettre d'évoquer le diagnostic. Dans les cas où la visite à l'urgence a été retardée ou encore où le diagnostic initial a été manqué, on retrouve souvent une paralysie du nerf péronier. Comme pour tous les syndromes de la loge, un diagnostic rapide et une décompression chirurgicale sont nécessaires afin d'éviter un handicap permanent.

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Peroneal compartment syndrome secondary to rupture of the peroneus longus. A case report.

Cited by 69 publications

References 0 publications

Anatomy of the long peroneal muscle of the leg

Anatomy of the long peroneal muscle of the leg

Acute Peroneal Compartmental Syndrome

Missed acute isolated peroneal compartment syndrome

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