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Thread common peroneal nerve release—a cadaveric validation study

  • Original Article - Neurosurgical technique evaluation
  • Published:
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Abstract

Objective

To determine if the thread release technique can be applied to common peroneal nerve entrapment at the fibular neck.

Methods

The thread common peroneal nerve release was performed on 15 fresh frozen cadaveric lower extremity specimens. All procedures were performed under ultrasound guidance and immediately underwent post-procedural gross anatomic inspection for completeness of decompression and presence or absence of iatrogenic neurovascular injury.

Results

All 15 specimens demonstrated complete transection of the deep fascia of the peroneus longus overlying the common peroneal nerve. The transections extended to the bifurcation of the superficial peroneal and deep peroneal nerves. There was no evidence of any iatrogenic damage to the neurovascular bundle or adjacent tendons. The average operating time was less than 30 min.

Conclusion

This cadaveric validation study demonstrates the accuracy of the thread common peroneal nerve release. Future pilot studies are warranted to ensure the safety of this procedure in the clinical setting.

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Abbreviations

TCPNR:

Thread common peroneal nerve release

CPN:

Common peroneal nerve

TCTR:

Thread carpal tunnel release

TTFR:

Thread trigger finger release

D:

Distal point

DM:

Distal margin

P:

Proximal point

PM:

Proximal margin

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Funding

This research was internally funded by the Department of Rehabilitation Medicine at the University of Minnesota.

Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine Division of PM&R, University of Minnesota, 420 Delaware St. SE MMC 297, Minneapolis, MN, 55455, USA

    Logan McCool, Brionn Tonkin & Alexander Senk

  2. BayCare Clinic Pain & Rehab Medicine, Aurora/BayCare Health, 2401 Holmgren Way, Green Bay, WI, 54304, USA

    Danqing Guo & Danzhu Guo

  3. BayCare Clinic Neurological Surgery, Aurora/BayCare Health, 2845 Greenbrier Rd Ste 330, Green Bay, WI, 54311, USA

    Richard Harrison

  4. Department of Neurosurgery, Stanford University, 300 Pasteur Dr, Palo Alto, CA, 94304, USA

    Michel Kliot

Authors
  1. Logan McCool
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  2. Danqing Guo
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  3. Danzhu Guo
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  4. Richard Harrison
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  5. Brionn Tonkin
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  6. Alexander Senk
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  7. Michel Kliot
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Corresponding author

Correspondence to Danqing Guo.

Ethics declarations

Conflict of interest

DG and DG reported that their brother JG is the inventor and patent holder of the transecting thread used in this study. All other authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (University of Minnesota/Anatomy Bequest Program) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Disclaimer

The sponsors of this study had no role in the design or conduct of this research.

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This article is part of the Topical Collection on Neurosurgical technique evaluation

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McCool, L., Guo, D., Guo, D. et al. Thread common peroneal nerve release—a cadaveric validation study. Acta Neurochir 161, 1931–1936 (2019). https://doi.org/10.1007/s00701-019-03998-y

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  • DOI: https://doi.org/10.1007/s00701-019-03998-y

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