The operative treatment of peroneal nerve palsy

被引:93
作者
Mont, MA
Dellon, AL
Chen, F
Hungerford, MW
Krackow, KA
Hungerford, DS
机构
[1] JOHNS HOPKINS UNIV,GOOD SAMARITAN HOSP,SCH MED,DEPT NEUROL SURG,DIV PLAST SURG,BALTIMORE,MD 21239
[2] BUFFALO GEN HOSP,DIV ORTHOPAED SURG,BUFFALO,NY 14203
关键词
D O I
10.2106/00004623-199606000-00009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We retrospectively reviewed the results of operative decompression for peroneal nerve palsy in thirty-one patients, who had been managed between 1980 and 1990, All patients had been managed nonoperatively for at least two months after they had initially been seen, Intraoperatively, we found epineurial fibrosis and bands of fibrous tissue constricting the peroneal nerve at the level of the fibular head and at the proximal origin of the peroneus longus muscle, At a mean of thirty-six months (range, twelve to seventy-two months) postoperatively, thirty (97 per cent) of the thirty-one patients reported subjective and functional improvement and were able to discontinue the use of the ankle-foot orthosis, In contrast, only three of nine patients who had been managed non-operatively reported subjective and functional improvement (p < 0.01). Peroneal nerve palsy does not always resolve spontaneously; if it is left untreated, the loss of dorsiflexion of the ankle and persistent paresthesias can result in severe functional disability, Therefore, if nonoperative measures do not lead to improvement within two months, we believe that operative decompression should be considered.
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页码:863 / 869
页数:7
相关论文
共 42 条
  • [1] ASP JPL, 1990, CLIN ORTHOP RELAT R, V261, P233
  • [2] TIBIAL OSTEOTOMY IN GONARTHROSIS (OSTEO-ARTHRITIS OF KNEE)
    BAUER, GCH
    INSALL, J
    KOSHINO, T
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1969, A 51 (08) : 1545 - &
  • [3] COMMON PERONEAL NERVE PALSY - CLINICAL AND ELECTROPHYSIOLOGICAL REVIEW
    BERRY, H
    RICHARDSON, PM
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1976, 39 (12) : 1162 - 1171
  • [4] RESIDUAL DISABILITY FOLLOWING ACUTE ANKLE SPRAINS
    BOSIEN, WR
    STAPLES, OS
    RUSSELL, SW
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1955, 37 (06) : 1237 - 1243
  • [5] BUECHEL FF, 1989, ORTHOP CLIN N AM, V20, P147
  • [6] CLINICAL IMPLICATIONS OF THE SURGICAL ANATOMY OF THE SURAL NERVE
    COERT, JH
    DELLON, AL
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1994, 94 (06) : 850 - 855
  • [7] COMMON PERONEAL NERVE DYSFUNCTION AFTER HIGH TIBIAL OSTEOTOMY
    CURLEY, P
    EYRES, K
    BREZINOVA, V
    ALLEN, M
    CHAN, R
    BARNES, M
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (03): : 405 - 408
  • [8] Dawson DM, 1990, ENTRAPMENT NEUROPATH, P277
  • [9] DE LUCA CJ, 1987, ORTHOPEDICS, V10, P777
  • [10] DEBURGE A, 1976, CLIN ORTHOP RELAT R, V120, P47