Displacement of the common peroneal nerve in posterolateral corner injuries of the knee

被引:25
作者
Bottomley, N
Williams, A
Birch, R
Noorani, A
Lewis, A
Lavelle, J
机构
[1] Chelsea & Westminster Hosp, Dept Orthopaed, London SW10 9NH, England
[2] Royal Natl Orthopaed Hosp, Stanmore HA7 4LP, Middx, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2005年 / 87B卷 / 09期
关键词
D O I
10.1302/0301-620X.87B9.16122
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 reviewed the relationship between the pattern of damage to the posterolateral corner of the knee and the position of the common peroneal nerve in 54 consecutive patients with posterolateral corner disruption requiring surgery. We found that 16 of the 18 patients with biceps avulsions or avulsion-fracture of the fibular head had a displaced common peroneal nerve. The nerve was pulled anteriorly with the biceps tendon. None of the 34 proximal injuries resulted in an abnormal nerve position. Whenever bone or soft-tissue avulsion from the fibular head is suspected, the surgeon should expect an abnormal position of the common peroneal nerve and appreciate the increased risk of iatrogenic damage.
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页码:1225 / 1226
页数:2
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