Treatment of Superficial Peroneal Nerve Entrapment Syndrome under Local Anesthesia using Ultrasonogram

초음파를 이용한 국소마취하 표재비골신경 포착증후군의 치료

  • Lee, Kyung-Chan (Department of Orthopedic Surgery, Gil medical Center, Gachon University) ;
  • Kwak, Ji-Hoon (Department of Orthopedic Surgery, Gil medical Center, Gachon University) ;
  • Hwang, Chul-Ho (Department of Orthopedic Surgery, Gil medical Center, Gachon University) ;
  • Park, Hong-Gi (Department of Orthopedic Surgery, Gil medical Center, Gachon University)
  • 이경찬 (가천대학교 길병원 정형외과교실) ;
  • 곽지훈 (가천대학교 길병원 정형외과교실) ;
  • 황철호 (가천대학교 길병원 정형외과교실) ;
  • 박홍기 (가천대학교 길병원 정형외과교실)
  • Received : 2013.07.13
  • Accepted : 2013.08.20
  • Published : 2013.09.15

Abstract

Purpose: To review the outcomes of surgical treatment for superficial peroneal nerve entrapment. Materials and Methods: Ultrasonogram was used for diagnosis and surgical treatment. Seven superficial peroneal nerve entrapment were surgically treated with follow up of average 16 months (range, 6~29 months). Three patients were male and four patients were female with mean age 36.7 years (range, 19~51 years). Four cases developed after repetitive ankle sprain and three cases had no etiology. Results: Operation was performed mini-open and subcutaneous fasciotomy under local anesthesia. The results were excellent in two cases, good in four cases, fair in one case. Conclusion: Ultrasonogram was useful for diagnosis and surgical treatment of superficial peroneal nerve entrapment syndrome.

Keywords

References

  1. Hirose CB, McGarvey WC. Peripheral nerve entrapments. Foot Ankle Clin. 2004;9(2):255-69. https://doi.org/10.1016/j.fcl.2004.02.001
  2. Flanigan RM, DiGiovanni BF. Peripheral nerve entrapments of the lower leg, ankle, and foot. Foot Ankle Clin, 2011:16(2)255-74. https://doi.org/10.1016/j.fcl.2011.01.006
  3. Henry AK. Extensile exposure. Edinburgh and London:E&S Livingstone; 1945.163.
  4. Kernohan J, Levack B, Wilson NJ. Entrapment of the superficial peroneal nerve: three case reports. J Bone Joint Surg Br, 1985;67B:60-1.
  5. Styf J. Diagnosis of exercise-induced pain in the anterior aspect of the lower leg. Am J Sport Med, 1988;16:165-9. https://doi.org/10.1177/036354658801600214
  6. Adkinson DP, Bosse MJ, Gaccione DR, Gabriel KR. Anatomical variation in the course of the superficial nerve. J bone Joint Surg Am. 1991;73:112-4. https://doi.org/10.2106/00004623-199173010-00014
  7. Barrett SL, Dellon AL, ROssonGD, Walters L. Superficial peroneal nerve (superficial fibularis nerve): the clinical implications of anatomic variability. J Foot Ankle Surg. 2006;45(3):174-6. https://doi.org/10.1053/j.jfas.2006.02.004
  8. Ucerler H, Ikix A. The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance. Foot Ankle Int, 2005:26(11):942-6. https://doi.org/10.1177/107110070502601108
  9. Styf J. Entrapment of the superficial peroneal nerve. Diagnosis and results of decompression. J Bone Joint Surg Br, 1989;71:131-5.
  10. Schon LC, Baxter DE. Neuropathies of the foot and ankle in athletes. Clin Sports Med. 1990;9:489-509.
  11. Styf J, Morberg P. The superficial peroneal tunnel syndrome. Results of the treatment by decompression. J Bone and Joint Surg Br. 1997;79:801-3. https://doi.org/10.1302/0301-620X.79B5.7799
  12. Yang LJ, Gala VC, McGillicuddy JE. Superficial peroneal nerve syndrome:an unusual nerve entrapment. Case report. J Neurosurg. 2006:104:820-3.
  13. Malavolta M, Malavolta L. Surgery for superficial peroneal nerve entrapment syndrome. Oper Orthop Traumatol. 2007; 19:502-10. https://doi.org/10.1007/s00064-007-1024-9
  14. Gessini L, Jandolo B, Pietrangeli A. The anterior tarsal syndrome. J Bone Joint Surg, 1984;66-A:786-7.
  15. Pecina M, Krmpotic-Nemanic J, Markiewitz AD. Tunnel syndrome in athletes in tunnel syndrome: peripheral nerve compression syndromes. New York: Taylor & Francis, Inc; 2001. 288-4.
  16. Danelli G, Fanelli A, Ghisi D, et al. Ultrasound vs nerve stimulation multiple injection technique for posterior popliteal sciatic nerve block. Anaesthesia, 2009;64:638-42. https://doi.org/10.1111/j.1365-2044.2009.05915.x
  17. Walker KJ, Mcgrattan K, Aas-Eng K, Smith AF. Ultrasound guidance for peripheral nerve blockade. Cochrane Database Syst Rev, 2009;7:CD006459.