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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2014, Number 2

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Ortho-tips 2014; 10 (2)

Compressive neuropathy of the peroneal nerve

Espinosa de los Monteros KAF, Clifton CJF, López AL, Navarro BE, Villarruel SJÁ, Zermeño RJJ, Gutiérrez MI, Romo RR

Language: Spanish
References: 12
Page: 93-99
PDF size: 267.45 Kb.


ABSTRACT

The nerve entrapment of the peroneal nerve is the most common neuropathy of the lower extremity, and the compression region which presents more frecuently level is fibular head. Overall compared to compressive neuropathies is the third most common after median and ulnar nerve. According to the location of compression will be the patient’s clinical presentation. When there is compression at the common peroneal nerve, before its division into superficial and deep peroneal nerve, there may be weakness in dorsiflexion of the foot (foot drop). In the case of a compression at the level of the superficial nerve will exist mainly sensory disturbances; in the case of compression of the deep branch weakness may exist in the function of the extensor digitorum. There are different causes of neuropathy, as well as the differential diagnosis like a L5 radiculopathy. As thorough and complementation studies of nerve conduction evaluation is critical for proper diagnosis.


REFERENCES

  1. Kim DH. Lower extremity nerve injuries. In: Kim DH, Midha R, Murovic JA, Spinner RJ, Teil R. Kline and Hudson’s nerve injuries. 2nd ed. Elsevier; 2007.

  2. McCrory P, Bell S, Bradshaw S. Nerve entrapments of the lower leg, ankle and foot in sport. Sports Med. 2002; 32 (6): 371-391.

  3. Marciniak C. Fibular (peroneal) neuropathy: electrodiagnostic features and clinical correlates. Phys Med Rehabil Clin N Am. 2013; 24 (1): 121-137.

  4. Flores LP, Koerbel A, Tatagiba M. Peroneal nerve compression resulting from fibular head osteophyte-like lesions. Surg Neurol. 2005; 64 (3): 249-252.

  5. Hirose CB, McGarvey WC. Peripheral nerve entrapments. Foot Ankle Clin. 2004; 9 (2): 255-269.

  6. Bon AJ. Peripheral nerve entrapment and compartment syndromes of the lower leg, en nerve and vascular injuries in sports medicine. New York: Springer; 2009.

  7. Vigasio A, Marcoccio I, Patelli A, Mattiuzzo V, Prestini G. New tendon transfer for correction of drop-foot in common peroneal nerve palsy. Clin Orthop Relat Res. 2008; 466 (6): 1454-1466.

  8. Peri G. The “critical zones” of entrapment of the nerves of the lower limb. Surg Radiol Anat. 1991; 13 (2): 139-143.

  9. Ray WZ, Mackinnon SE. Nerve problems in the lower extremity. Foot Ankle Clin. 2011; 16 (2): 243-254.

  10. Fernandez E, Pallini R, Lauretti L, Romani R, Palma P, Papacci F, et al. Neurosurgery of the peripheral nervous system: entrapment syndromes of the lower extremity. Surg Neurol. 1999; 52 (5): 449-452.

  11. Beskin JL. Nerve entrapment syndromes of the foot and ankle. J Am Acad Orthop Surg. 1997; 5 (5): 261-269.

  12. Pell RF 4th, Khanuja HS, Cooley GR. Leg pain in the running athlete. J Am Acad Orthop Surg. 2004; 12 (6): 396-404.




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