Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Repair muscle herniation and closure of the fascial defect
8%
198/2360
Fascial release and superficial peroneal neurolysis
81%
1917/2360
Fascial release of all four compartments
2%
57/2360
Superficial peroneal neurectomy
7%
169/2360
Lumbar discectomy
0%
7/2360
Select Answer to see Preferred Response
This is a case of superficial peroneal nerve entrapment by the fascial opening in the distal leg. It is classically exacerbated by plantar flexion and inversion of the foot. Treatment involves release of the fascial opening to reduce this traction phenomenon. Sridhara et al reported on 2 cases that were successfully treated by surgical decompression of the nerve at the bulge by fasciotomy. They described the following findings: 1) a decrease in sensation on the foot dorsum over the cutaneous distribution of the nerve with sparing of the first web space; 2) a soft tissue bulge over the anterolateral leg 10 cm above the lateral malleolus; 3) a Tinel sign over the bulge; 4) an increase in the size of the bulge either with resisted ankle dorsiflexion or weight bearing; and 5) tenderness over the bulge or distally over the terminal sensory branches of the superficial peroneal nerve. Styf et al published a more recent series of 17 patients (19 legs) with entrapment of the superficial peroneal nerve. We performed decompression of the superficial peroneal tunnel in 14 patients and local fasciectomy in three. Fourteen patients (80%) were free from symptoms or satisfied with the result.
2.6
(17)
Please Login to add comment