Patient outcome after common peroneal nerve decompression

Douglas B. Humphreys Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri

Search for other papers by Douglas B. Humphreys in
Current site
Google Scholar
PubMed Close
 M.D., F.R.C.S.C.
,
Christine B. Novak Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri

Search for other papers by Christine B. Novak in
Current site
Google Scholar
PubMed Close
 M.S.
, and
Susan E. Mackinnon Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri

Search for other papers by Susan E. Mackinnon in
Current site
Google Scholar
PubMed Close
 M.D., F.R.C.S.C.
Page Range:
314–318
Volume/Issue:
Volume 107: Issue 2
DOI link:
https://doi.org/10.3171/JNS-07/08/0314
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $525.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $624.00
Click here for subscription options

  • Purchase Now

    USD  $45.00

  • JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

    USD  $525.00

  • JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

    USD  $624.00
USD  $45.00
USD  $525.00
USD  $624.00
Print or Print + Online Sign in

Object

This study examines common peroneal nerve decompression and its effect on nerve function.

Methods

Fifty-one peroneal nerve decompressions were retrospectively reviewed. All patients were evaluated preoperatively and postoperatively for motor and sensory function of the peroneal nerve as well as for pain.

Results

Postoperatively, 40 (83%) of 48 patients who had preoperative motor weakness had improvement in motor function. Likewise, 23 (49%) of 47 patients who had sensory disturbances and 26 (84%) of 31 patients who had preoperative pain improved after surgical decompression of the peroneal nerve.

Conclusions

Common peroneal nerve decompression is a useful procedure to improve sensation and strength as well as to decrease pain.

Abbreviations used in this paper:

BMI = body mass index; MRC = Medical Research Council.
  • Collapse
  • Expand

Contributor Notes

Address reprint requests to: Susan E. Mackinnon, M.D., Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, 660 South Euclid, Suite 5401, St. Louis, Missouri 63110. email: mackinnons@wustl.edu.
  • 1

    Anand A: Complications associated with intermittent pneumatic compression devices. Anesthesiology 93:1556–1557, 2000

  • 2

    Dahlin LB: Aspects on pathophysiology of nerve entrapments and nerve compression injuries. Neurosurg Clin N Am 2:21–29, 1991

  • 3

    De Hart MM, & Riley LH Jr: Nerve injuries in total hip arthroplasty. J Am Acad Orthop Surg 7:101–111, 1999

  • 4

    Idusuyi OB, & Morrey BF: Peroneal nerve palsy after total knee arthroplasty. Assessment of predisposing and prognostic factors. J Bone Joint Surg (Am) 78:177–184, 1996

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5

    Johnson KA, & Strom DE: Tibialis posterior tendon dysfunction. Clin Orthop 239:196–206, 1989

  • 6

    Johnston RB, , Zachary L, , Dellon AL, , Mackinnon SE, & Gottlieb L: The effect of a distal site of compression on neural regeneration. J Reconstr Microsurg 9:271–275, 1993

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7

    Kaushal SP, , Galante JO, , McKenna R, & Bachmann F: Complications following total knee replacement. Clin Orthop Relat Res 121:181–187, 1976

    • Search Google Scholar
    • Export Citation
  • 8

    Kim DH, & Kline DG: Management and results of peroneal nerve lesions. Neurosurgery 39:312–320, 1996

  • 9

    Lacour-Petit MC, , Lozeron P, & Ducreux D: MRI of peripheral nerve lesions of the lower limbs. Neuroradiology 45:166–170, 2003

  • 10

    Lyle HHM: Traumatic luxation of the head of the fibula. Ann Surg 82:635–639, 1925

  • 11

    Mackinnon SE: Pathophysiology of nerve compression. Hand Clin 18:231–241, 2002

  • 12

    Mackinnon SE, & Dellon AL: Surgery of the Peripheral Nerve New York, Thieme Medical Publishers, 1988

  • 13

    Maggi SP, , Lowe JB III, & Mackinnon SE: Pathophysiology of nerve injury. Clin Plast Surg 30:109–126, 2003

  • 14

    Medical Research Council: Aids to the Investigation of Peripheral Nerve Injuries War Memorandum No. 7 London, Her Majesty's Stationery Office, 1943

    • Search Google Scholar
    • Export Citation
  • 15

    Mont MA, , Dellon AL, , Chen F, , Hungerford MW, , Krackow KA, & Hungerford DS: The operative treatment of peroneal nerve palsy. J Bone Joint Surg Am 78:863–869, 1996

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16

    Oppenheimer H: Textbook of Nervous Diseases Edinburgh, Otto Schulze & Co, 1911

  • 17

    Reddy MP: Management of common ‘pinched nerves’ in the elderly. Geriatrics 41:61–68, 73–74, 1986

  • 18

    Rubin DI, , Kimmel DW, & Cascino TL: Outcome of peroneal neuropathies in patients with systemic malignant disease. Cancer 83:1602–1606, 1998

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19

    Stevens JC, , Sun S, , Beard CM, , O'Fallon WM, & Kurland LT: Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology 38:134–138, 1988

  • 20

    Strauch B, , Lang A, , Ferder M, , Keyes-Ford M, , Freeman K, & Newstein D: The ten test. Plast Reconstr Surg 99:1074–1078, 1997

  • 21

    Thoma A, , Fawcett S, , Ginty M, & Veltri K: Decompression of the common peroneal nerve: experience with 20 consecutive cases. Plast Reconstr Surg 107:1183–1189, 2001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22

    Upton AR, & McComas AJ: The double crush in nerve entrapment syndromes. Lancet 7825:359–362, 1973

  • 23

    Vastamaki M: Decompression for peroneal nerve entrapment. Acta Orthop Scand 57:551–554, 1986

  • 24

    White J: The results of traction injuries to the common peroneal nerve. J Bone Joint Surg Br 50:346–350, 1968

  • 25

    Yeap JS, , Birch R, & Singh D: Long-term results of tibialis posterior tendon transfer for drop-foot. Int Orthop 25:114–118, 2001

Metrics

All Time Past Year Past 30 Days
Abstract Views 2898 320 23
Full Text Views 480 56 9
PDF Downloads 528 78 10
EPUB Downloads 0 0 0