open access

Vol 45, No 5 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-10-01
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Management outcome of peroneal nerve injury at knee level: experience of a single military institution

Ilker Solmaz, Eralp N. Cetinalp, Cüneyt Göçmez, Baki S. Albayrak, Cahit Kural, H. Serdar Kaya, H. Ibrahim Secer, Mehmet Daneyemez, Engin Gonul
DOI: 10.1016/S0028-3843(14)60314-5
·
Neurol Neurochir Pol 2011;45(5):461-466.

open access

Vol 45, No 5 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-10-01

Abstract

Background and purpose

We investigated the management outcome of common peroneal nerve decompression at the knee level between the years 2005 and 2009.

Material and methods

Thirty consecutive patients with knee-level peroneal nerve injury who underwent decompression surgery and external neurolysis at our institution were evaluated preoperatively and postoperatively by electrophysiological studies and motor examination (Medical Research Council grading).

Results

Twenty-eight of the cases were male and 2 were female. Mean age was 31.1 for males and 57.5 for females. Physical activity during military training (overstretch/contusion) was the cause of nerve lesion in the majority of the patients (n = 28, 93%). Mean time interval between the diagnosis and the surgery was 5 months. Follow-up time ranged from 3 to 48 months (mean: 14 months). Twenty-nine of 30 (97%) patients recovered totally or near totally in foot/toe dorsiflexion.

Conclusions

Early decompression and neurolysis of the common peroneal nerve (CPN) at knee level after strenuous physical activity offers excellent functional recovery. Additionally, for knee-level CPN injuries, in order to minimize the postoperative scar, pain and delay in wound healing, we strictly advocate short ‘lazy S-shaped incision’ around the fibular head in supine position unlike the classical extensive opening up to the superior border of the popliteal fossa in prone position.

Abstract

Background and purpose

We investigated the management outcome of common peroneal nerve decompression at the knee level between the years 2005 and 2009.

Material and methods

Thirty consecutive patients with knee-level peroneal nerve injury who underwent decompression surgery and external neurolysis at our institution were evaluated preoperatively and postoperatively by electrophysiological studies and motor examination (Medical Research Council grading).

Results

Twenty-eight of the cases were male and 2 were female. Mean age was 31.1 for males and 57.5 for females. Physical activity during military training (overstretch/contusion) was the cause of nerve lesion in the majority of the patients (n = 28, 93%). Mean time interval between the diagnosis and the surgery was 5 months. Follow-up time ranged from 3 to 48 months (mean: 14 months). Twenty-nine of 30 (97%) patients recovered totally or near totally in foot/toe dorsiflexion.

Conclusions

Early decompression and neurolysis of the common peroneal nerve (CPN) at knee level after strenuous physical activity offers excellent functional recovery. Additionally, for knee-level CPN injuries, in order to minimize the postoperative scar, pain and delay in wound healing, we strictly advocate short ‘lazy S-shaped incision’ around the fibular head in supine position unlike the classical extensive opening up to the superior border of the popliteal fossa in prone position.

Get Citation

Keywords

peroneal nerve injury, neurolysis, physical activity, military training, management outcome

About this article
Title

Management outcome of peroneal nerve injury at knee level: experience of a single military institution

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 45, No 5 (2011)

Pages

461-466

DOI

10.1016/S0028-3843(14)60314-5

Bibliographic record

Neurol Neurochir Pol 2011;45(5):461-466.

Keywords

peroneal nerve injury
neurolysis
physical activity
military training
management outcome

Authors

Ilker Solmaz
Eralp N. Cetinalp
Cüneyt Göçmez
Baki S. Albayrak
Cahit Kural
H. Serdar Kaya
H. Ibrahim Secer
Mehmet Daneyemez
Engin Gonul

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