Abstract
Common peroneal nerve pathology is the most common lower extremity mononeuropathy. Dysfunction of this nerve is a cause of foot drop and anterolateral calf sensory disturbances and pain. The pattern of pain and weakness, as well as the mechanism of injury, are clues as to the etiology. This chapter describes the diagnosis and treatment of common peroneal nerve entrapments.
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References
Katirji MB, Wilbourn AJ. Common peroneal mononeuropathy: a clinical and electrophysiologic study of 116 lesions. Neurology. 1988;38(11):1723–8.
Donovan A, Rosenberg ZS, Cavalcanti CF. MR imaging of entrapment neuropathies of the lower extremity. Part 2. The knee, leg, ankle, and foot. Radiographics. 2010;30(4):1001–19.
Van Langenhove M, Pollefliet A, Vanderstraeten G. A retrospective electrodiagnostic evaluation of footdrop in 303 patients. Electromyogr Clin Neurophysiol. 1989;29(3):145–52.
Aprile I, Caliandro P, La Torre G, Tonali P, Foschini M, Mondelli M, et al. Multicenter study of peroneal mononeuropathy: clinical, neurophysiologic, and quality of life assessment. J Peripher Nerv Syst. 2005;10(3):259–68.
Vieira RL, Rosenberg ZS, Kiprovski K. MRI of the distal biceps femoris muscle: normal anatomy, variants, and association with common peroneal entrapment neuropathy. AJR Am J Roentgenol. 2007;189(3):549–55.
Humphreys DB, Novak CB, Mackinnon SE. Patient outcome after common peroneal nerve decompression. J Neurosurg. 2007;107(2):314–8.
Whitmore I. Terminologia anatomica: new terminology for the new anatomist. Anat Rec. 1999;257(2):50–3.
Brief JM, Brief R, Ergas E, Brief LP, Brief AA. Peroneal nerve injury with foot drop complicating ankle sprain – a series of four cases with review of the literature. Bull NYU Hosp Jt Dis. 2009;67(4):374–7.
Cho D, Saetia K, Lee S, Kline DG, Kim DH. Peroneal nerve injury associated with sports-related knee injury. Neurosurg Focus. 2011;31(5), E11.
Deutsch A, Wyzykowski RJ, Victoroff BN. Evaluation of the anatomy of the common peroneal nerve. Defining nerve-at-risk in arthroscopically assisted lateral meniscus repair. Am J Sports Med. 1999;27(1):10–5.
Yu JK, Yang JS, Kang SH, Cho YJ. Clinical characteristics of peroneal nerve palsy by posture. J Korean Neurosurg Soc. 2013;53(5):269–73.
Leach RE, Purnell MB, Saito A. Peroneal nerve entrapment in runners. Am J Sports Med. 1989;17(2):287–91.
Haimovici H. Peroneal sensory neuropathy entrapment syndrome. Arch Surg. 1972;105(4):586–90.
Chusid J. Yoga foot drop. JAMA J Am Med Assoc. 1971;217(6):827–8.
McCrory P, Bell S, Bradshaw C. Nerve entrapments of the lower leg, ankle and foot in sport. Sports Med. 2002;32(6):371–91.
Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg Am. 1998;80(1):47–53.
Spinner RJ, Amrami KK. Superficial peroneal intraneural ganglion cyst originating from the inferior tibiofibular joint: the latest chapter in the book. J Foot Ankle Surg. 2010;49(6):575–8.
Jang SH, Lee H, Han SH. Common peroneal nerve compression by a popliteal venous aneurysm. Am J Phys Med Rehabil. 2009;88(11):947–50.
Cruz-Martinez A, Arpa J, Palau F. Peroneal neuropathy after weight loss. J Peripher Nerv Syst. 2000;5(2):101–5.
Marciniak C. Fibular (peroneal) neuropathy: electrodiagnostic features and clinical correlates. Phys Med Rehabil Clin N Am. 2013;24(1):121–37.
Anderson AW, LaPrade RF. Common peroneal nerve neuropraxia after arthroscopic inside-out lateral meniscus repair. J Knee Surg. 2009;22(1):27–9.
Baima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med. 2008;1(2):147–53.
Sedel L, Nizard RS. Nerve grafting for traction injuries of the common peroneal nerve. A report of 17 cases. J Bone Joint Surg (Br). 1993;75(5):772–4.
Kashuk K. Proximal peripheral nerve entrapment syndromes in the lower extremity. J Am Podiatry Assoc. 1977;67(8):529–44.
Dong Q, Jacobson JA, Jamadar DA, Gandikota G, Brandon C, Morag Y, et al. Entrapment neuropathies in the upper and lower limbs: anatomy and MRI features. Radiol Res Pract. 2012;2012:230679.
Vasudevan JM, Freedman MK, Beredjiklian PK, Deluca PF, Nazarian LN. Common peroneal entrapment neuropathy secondary to a popliteal lipoma: ultrasound superior to magnetic resonance imaging for diagnosis. PM R. 2011;3(3):274–9.
Ryan W, Mahony N, Delaney M, O’Brien M, Murray P. Relationship of the common peroneal nerve and its branches to the head and neck of the fibula. Clin Anat. 2003;16(6):501–5.
Aigner F, Longato S, Gardetto A, Deibl M, Fritsch H, Piza-Katzer H. Anatomic survey of the common fibular nerve and its branching pattern with regard to the intermuscular septa of the leg. Clin Anat. 2004;17(6):503–12.
Sumalatha S, DS AS, Yadav JS, Mittal SK, Singh A, Kotian SR. An unorthodox innervation of the gluteus maximus muscle and other associated variations: a case report. Aust Med J. 2014;7(10):419–22.
Gloobe H, Chain D. Fibular fibrous arch. Anatomical considerations in fibular tunnel syndrome. Acta Anat. 1973;85(1):84–7.
El Gharbawy RM, Skandalakis LJ, Skandalakis JE. Protective mechanisms of the common fibular nerve in and around the fibular tunnel: a new concept. Clin Anat. 2009;22(6):738–46.
Boon AJ, Dib MY. Peripheral nerve entrapment and compartment syndromes of the lower leg. In: Akuthola V, Herring SA, editors. Nerve and vascular injuries in sports medicine. Philadelphia: Springer; 2009. p. 139–59.
Zipple JT, Hammer RL, Loubert PV. Treatment of fabella syndrome with manual therapy: a case report. J Orthop Sports Phys Ther. 2003;33(1):33–9.
Rousseau E. The anterior recurrent peroneal nerve entrapment syndrome: a patellar tendinopathy differential diagnosis case report. Man Ther. 2013;18(6):611–4.
Mont MA, Dellon AL, Chen F, Hungerford MW, Krackow KA, Hungerford DS. The operative treatment of peroneal nerve palsy. J Bone Joint Surg Am. 1996;78(6):863–9.
Ang CL, Foo LS. Multiple locations of nerve compression: an unusual cause of persistent lower limb paresthesia. J Foot Ankle Surg. 2014;53(6):763–7.
Sidey JD. Weak ankles. A study of common peroneal entrapment neuropathy. Br Med J. 1969;3(5671):623–6.
Kopell HP, Thompson WA. Peripheral Entrapment Neuropathies. Baltimore: Williams and Wilkins; 1976.
Flanigan RM, DiGiovanni BF. Peripheral nerve entrapments of the lower leg, ankle, and foot. Foot Ankle Clin. 2011;16(2):255–74.
Derr JJ, Micklesen PJ, Robinson LR. Predicting recovery after fibular nerve injury: which electrodiagnostic features are most useful? Am J Phys Med Rehabil. 2009;88(7):547–53.
Maalla R, Youssef M, Ben Lassoued N, Sebai MA, Essadam H. Peroneal nerve entrapment at the fibular head: outcomes of neurolysis. Orthop Traumatol Surg Res. 2013;99(6):719–22.
Reife MD, Coulis CM. Peroneal neuropathy misdiagnosed as L5 radiculopathy: a case report. Chiropr Man Ther. 2013;21(1):12.
Ting PH, Antonakakis JG, Scalzo DC. Ultrasound-guided common peroneal nerve block at the level of the fibular head. J Clin Anesth. 2012;24(2):145–7.
Lynch P, McJunkin T, Barrett S, Maloney J. A new surgical approach to peripheral nerve stimulation of the deep and superficial peroneal nerves for peroneal nerve pain (poster presentation). AAPM annual meeting. Washington, DC; 2011.
Aszmann OC, Kress KM, Dellon AL. Results of decompression of peripheral nerves in diabetics: a prospective, blinded study. Plast Reconstr Surg. 2000;106(4):816–22.
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Physical exam of the common peroneal nerve (MOV 20056 kb)
Landmark-guided injection of the common peroneal nerve (MOV 26151 kb)
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Murinova, N., Chiu, S.C., Krashin, D., Karl, H.W. (2016). Common Peroneal Nerve Entrapment. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_67
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DOI: https://doi.org/10.1007/978-3-319-27482-9_67
Publisher Name: Springer, Cham
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