Common peroneal nerve decompression

Ramanan, Mahesh and Chandran, K. Nadana (2011) Common peroneal nerve decompression. ANZ Journal of Surgery, 81 10: 707-712. doi:10.1111/j.1445-2197.2010.05607.x


Author Ramanan, Mahesh
Chandran, K. Nadana
Title Common peroneal nerve decompression
Journal name ANZ Journal of Surgery   Check publisher's open access policy
ISSN 1445-1433
1445-2197
Publication date 2011-10-01
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.2010.05607.x
Open Access Status Not yet assessed
Volume 81
Issue 10
Start page 707
End page 712
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Background:  Common peroneal neuropathy occurs as a result of compression of the common peroneal nerve (CPN) in the fibro-osseous tunnel between the fibular neck and the tendinous arch of peroneus longus. High rates of spontaneous recovery have been reported. However, there is a subset of patients who require decompression of the CPN at the fibular neck.

Methods:  We performed a retrospective analysis of patients that underwent decompressive surgery of the CPN. A total of 22 operations performed on 20 patients were analysed. Pre-operative workup included clinical examination, electrophysiological testing and magnetic resonance imaging (MRI) where indicated. Post-operatively, all patients were examined clinically for neurological recovery and where indicated, electrophysiology was repeated.

Results:  74% of patients (14 out of 19) with motor weakness improved, as did 68% with sensory dysfunction. 69% with foot drop improved to have no foot drop, most of these were those that underwent surgery within 12 months of symptom onset (OR 14.7, 95% CI 1.4–133.5).

Conclusion:  Patients with foot drop fared significantly better if their duration of symptoms prior to surgery was less than 12 months.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 09 Mar 2017, 11:48:02 EST by Mahesh Ramanan on behalf of PAH-Southside Clinical Unit