Peroneal Nerve Entrapment*

Fabre, Thierry; Piton, C.; André, Domingos; Lasseur, E.; Durandeau, A.

doi:10.2106/00004623-199801000-00009

Cited by 132 publications

(133 citation statements)

References 11 publications

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“…The CPN is derived from L4, L5, S1, and S2 as a main division of the sciatic nerve and arises near the upper level of the popliteal fossa [2] [7] [8]. The nerve becomes most vulnerable at its entrance to the fibular tunnel, where it courses superficial to the lateral surface of the fibula just distal to the fibular head [7] [8] [12]. This superficial location gives the nerve little soft tissue protection.…”

Section: Discussionmentioning

confidence: 99%

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Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

Kukreja¹,

Telang²

2015

OJO

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Although ganglion cysts occur frequently, their presence in the lower extremities is rare and they seldom cause peripheral nerve compression. There are enumerable case reports of intraneural ganglion involvement with the common peroneal nerve and its branches, the sural nerve, and the posterior tibial nerve but extraneural ganglion sciatic and common peroneal nerve palsy cases are quite rare. Our case, a 26 years old female patient presented with right leg tingling and radiating pain followed up gradually with progressive right sided foot drop. MRI diagnosed the lesion as a ganglion cyst and the EMG/NCV confirmed the level of compression at the right fibular head. The patient was electively operated with standard lateral approach and the ganglion cyst engulfing the common peroneal nerve was excised. The cyst was traced to the base of its articular origin, excised and stalk ligated to prevent recurrence. At 1 year, there were no signs of recurrence and the patient was symptomatically free with no residual weakness. We, thus, report to you a rare cause of common peroneal nerve palsy-a proximal tibio-fibular joint "ganglion cyst"; a cause of foot drop which can be completely reversible if treated appropriately, its implications and thus, making its early diagnosis significant.

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Section: Discussionmentioning

confidence: 99%

“…Fabre et al [12] reported 60 patients with peroneal nerve palsies, many idiopathic, who were treated with operative decompression. Postoperative recovery of motor function was good to excellent in 87% of those who had both sensory and motor involvement preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

Kukreja¹,

Telang²

2015

OJO

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“…The common peroneal nerve is derived from L4, L5, S1 and S2 as a division of the sciatic nerve (6,7). The nerve becomes most vulnerable at its entrance to the fibular tunnel, where it courses superficial to the lateral surface of the fibula just distal to the fibular head (8). This superficial location gives the nerve little soft tissue protection.…”

Section: Discussionmentioning

confidence: 99%

“…Tinel's sign is generally positive in the sensory distribution of the peroneal nerve. The muscles supplied by the common peroneal nerve are the tibialis anterior, the extensor hallucis longus, the extensor digitorum longus and brevis, and the peroneus longus and brevis (8). When isolating these muscle groups for testing, variable weakness is often found.…”

Section: Discussionmentioning

confidence: 99%

Compression neuropathy of the peroneal nerve secondary to a ganglion cyst

Greer-Bayramoglu¹,

Nimigan²,

Bs³

2008

J Plastic Surgery

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RJ Greer-Bayramoglu, AS Nimigan, BS Gan. Compression neuropathy of the peroneal nerve secondary to a ganglion cyst. Can J Plast Surg 2008;16(3):181-183.Peripheral neuropathies caused by ganglion cysts are rare, particularly in the lower extremities. The case of a 45-year-old man with a twomonth history of foot drop and swelling in the region of the right fibular head is presented. Physical examination and electromyogram studies verified a peroneal nerve palsy. Magnetic resonance imaging revealed a lobulated, multilocular, cystic-appearing mass extending around the fibular neck. Surgical decompression of the nerve with removal of the mass and careful articular branch ligation was performed. Surgical pathology reports confirmed the diagnosis of a ganglion cyst. The patient regained full function within four months of the decompression. Pertinent findings on physical examination are discussed, as well as electromyogram and magnetic resonance imaging results. If symptoms persist, early surgical decompression (between the third and fourth months) is recommended.Key Words: Foot drop; Ganglion cyst; Peripheral neuropathy; Peroneal nerve compressions Neuropathie par compression du nerf péroné consécutive à un kyste ganglionnaire Les neuropathies périphériques causées par des kystes ganglionnaires sont rares, particulièrement au niveau des membres inférieurs. Les auteurs présentent ici le cas d'un homme de 45 ans présentant une chute du pied depuis deux mois et une enflure à la région de la tête du péroné. L'examen physique et l'électromyogramme ont confirmé une paralysie du nerf péroné. L'imagerie par résonance magnétique a révélé une masse d'aspect kystique lobulée et multiloculaire s'étendant autour du col du péroné. Une décompression chirurgicale du nerf avec ligature soigneuse du rameau articulaire ont été réalisées. Les rapports anatomopathologiques du spécimen reséqué ont confirmé le diagnostic de kyste ganglionnaire. Le patient a entièrement récupéré en l'espace de quatre mois suivant la décompression. Le présent article aborde les éléments pertinents de l'examen physique, de même que les résultats de l'électromyogramme et de l'imagerie par résonance magnétique. Si les symptômes persistent, une décompression chirurgicale précoce (entre le troisième et le quatrième mois) est recommandée.

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“…idiopáticas, afecções compressivas, hérnias musculares, tumores, síndrome compartimental, alterações pós-trauma (como entorses de tornozelo ou fraturas da tíbia proximal), complicações de artroplastias de joelho, artroplastias de quadril, alongamentos ósseos, correções graduais ou agudas de deformidades (NOBEL, 1966;MANSOOR, 1969;VASTAMÄKI et al, 1986;FABRE et al, 1998;EGGLI et al, 1999;THOMA et al, 2001), e também neuropatia diabética (ASZMANN et al, 2000;CHAFEE et al, 2000;DELLON, 2002). A incidência da síndrome compressiva do nervo fibular como causa de dor ântero-lateral na perna é provavelmente maior do que a descrita na literatura (STYF, 1989).…”

Section: Introductionunclassified

Efeito da descompressão limitada do nervo fibular após a osteotomia em varo da tíbia proximal: estudo em cadáveres

Nogueira¹

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Peroneal Nerve Entrapment*

Cited by 132 publications

References 11 publications

Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

Compression neuropathy of the peroneal nerve secondary to a ganglion cyst

Efeito da descompressão limitada do nervo fibular após a osteotomia em varo da tíbia proximal: estudo em cadáveres

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