Anatomic survey of the common fibular nerve and its branching pattern with regard to the intermuscular septa of the leg

2004 ◽  
Vol 17 (6) ◽  
pp. 503-512 ◽  
Author(s):  
F. Aigner ◽  
S. Longato ◽  
A. Gardetto ◽  
M. Deibl ◽  
H. Fritsch ◽  
...  
Keyword(s):  
Branching Pattern ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Novel Branching Pattern of the Common Fibular Nerve: Emergence of the Superficial Fibular Nerve Within the Anterior Crural Compartment

2020 ◽  
Vol 110 (3) ◽  
Author(s):  
Morgan E. Chaney ◽  
Christopher M. Smith ◽  
John R. Fredieu ◽  
Stephanie J. Belovich ◽  
Kathy J. Siesel
Keyword(s):  
Peroneal Nerve ◽  
Deep Fascia ◽  
Superficial Fascia ◽  
Branching Pattern ◽  
Anterior Compartment ◽  
Unilateral Case ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve ◽  
Superficial Fibular Nerve

Distal to its origination from the sciatic nerve, the common fibular (peroneal) nerve divides into the superficial and deep fibular (peroneal) nerves. Whereas the deep fibular nerve continues its course into the anterior compartment, the superficial fibular nerve (SFN) usually arises near the fibular neck and projects distally within the lateral crural compartment before entering the superficial fascia proximal to the ankle. In this report, we describe a unilateral case where the SFN arises within the anterior crural compartment and remains there for the remainder of its course deep to the deep fascia of the leg. Surgeons should be aware of anomalies such as this, for example, when performing fasciotomies to avoid inadvertently damaging an anomalously placed SFN.

scholarly journals The Common Fibular Nerve (and its Branches) in Fetuses

2014 ◽  
Vol 32 (2) ◽  
pp. 455-460
Author(s):  
D Chetty ◽  
P Pillay ◽  
L Lazarus ◽  
K. S Satyapal
Keyword(s):  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

scholarly journals Varied Presentation and Importance of MR Neurography of the Common Fibular Nerve in Slimmer’s Paralysis

2021 ◽  
pp. 555-564
Author(s):  
Lisa B.E. Shields ◽  
Vasudeva G. Iyer ◽  
Christopher B. Shields ◽  
Yi Ping Zhang ◽  
Abigail J. Rao
Keyword(s):  
Weight Loss ◽  
Nerve Palsy ◽  
Rapid Weight Loss ◽  
Fibular Head ◽  
Fat Pad ◽  
Mr Neurography ◽  
Short Period ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Slimmer’s paralysis refers to a common fibular nerve palsy caused by significant and rapid weight loss. This condition usually results from entrapment of the common fibular nerve due to loss of the fat pad surrounding the fibular head. Several etiologies of common fibular nerve palsy have been proposed, including trauma, surgical complications, improperly fitted casts or braces, tumors and cysts, metabolic syndromes, and positional factors. We present 5 cases of slimmer’s paralysis in patients who had lost 32–57 kg in approximately 1 year. In 2 cases, MR neurogram of the knee demonstrated abnormalities of the common fibular nerve at the fibular head. Two patients underwent a common fibular nerve decompression at the fibular head and attained improved gait and sensorimotor function. Weight loss, diabetes mellitus, and immobilization may have contributed to slimmer’s paralysis in 1 case. Awareness of slimmer’s paralysis in patients who have lost a significant amount of weight in a short period of time is imperative to detect and treat a fibular nerve neuropathy that may ensue.

scholarly journals Spontaneous intraneural hematoma of the common fibular nerve due to oral anticoagulation

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Stephanie Schwab ◽  
Christoph Kabbasch ◽  
Stefan J Grau
Keyword(s):  
Peroneal Nerve ◽  
Oral Anticoagulants ◽  
Factor V Leiden ◽  
Common Peroneal Nerve ◽  
Foot Drop ◽  
Nerve Lesion ◽  
Mri Findings ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Abstract Compression syndromes affecting the common fibular nerve are common and frequently caused by direct pressure upon the fibular tip region. Here, we describe a case of a 50-year-old male presenting with sudden foot drop, which had developed spontaneously. He was on oral anticoagulants due to hereditary thrombophilia (factor-V-Leiden). Neurophysiology examination revealed a common peroneal nerve lesion at the fibular tip. T1-weighted magnetic resonance imaging (MRI) showed a not further classifiable hyperintensity within the common peroneal nerve. Surgical exploration revealed a diffuse intraneural hematoma, which was not evacuated. During follow-up, the nerve function recovered almost completely. In retrospect, MRI findings indicated a hematoma supported by the history of anticoagulant medication.

scholarly journals Elastographic and contrast-enhanced ultrasound features of a benign schwannoma of the common fibular nerve

2013 ◽  
Vol 16 (3) ◽  
pp. 135-138 ◽  
Author(s):  
V. Cantisani ◽  
N. Orsogna ◽  
A. Porfiri ◽  
C. Fioravanti ◽  
F. D’Ambrosio
Keyword(s):  
Contrast Enhanced Ultrasound ◽  
Benign Schwannoma ◽  
Contrast Enhanced ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve ◽  
Ultrasound Features

“Malignant” foot drop: Enzinger epithelioid sarcoma of the common fibular nerve

2016 ◽  
Vol 54 (4) ◽  
pp. 805-806 ◽  
Author(s):  
Tino Emanuele Poloni ◽  
Ridvan Alimehmeti ◽  
Alberto Galli ◽  
Stefania Gambini ◽  
Michela Mangieri ◽  
...  
Keyword(s):  
Epithelioid Sarcoma ◽  
Foot Drop ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

scholarly journals Easy Surgical Approach of the Posterolateral Corner of the Knee

2021 ◽  
Vol 1 (2) ◽  
pp. 263502542199742
Author(s):  
Sylvain Guy ◽  
Fernando Cury Rezende ◽  
Alexandre Ferreira ◽  
Lamine Chadli ◽  
Alessandro Carrozzo ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Tibial Plateau ◽  
Posterolateral Corner ◽  
Joint Capsule ◽  
Lateral Gastrocnemius ◽  
Anterior Side ◽  
The Common ◽  
Gerdy’S Tubercle ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Background: The anatomy of the posterolateral corner (PLC) of the knee is complex. The approach of the PLC can be a challenging and stressful surgical time. Indications: The indications are posterolateral meniscal repair, open lateral meniscus allograft transplantation, posterolateral tibial plateau fracture, and PLC reconstruction for grade III sprains. Technique Description: The skin incision is straight, realized with the knee positioned at 90° of flexion, passing slightly posterior to the lateral epicondyle, anterior to the fibular head (FH), and ending on Gerdy’s tubercle. The subcutaneous tissues are dissected posteriorly so as to expose the FH and the biceps femoris (BF) tendon. The aponeurosis of the peroneus muscles is incised vertically opposite to the anterior side of the FH. The common fibular nerve is exposed at the neck of the fibula. Metzenbaum scissors are then inserted subaponeurotically, posteriorly, and parallel to the BF tendon, superficially to the nerve. An incision is made opposite the scissor’s blades, freeing the common fibular nerve. The BF tendon is spread forward and the lateral gastrocnemius is pulled posteriorly. Metzenbaum scissors are inserted in a closed position between the lateral gastrocnemius and the posterolateral joint capsule, and then spread to create a triangular door with a proximal base. The base consists of the BF tendon, the posterior side of the lateral gastrocnemius, and the anterior side of the posterolateral joint capsule. A counter-angled Hohmann retractor can now be applied against the posterior tibial plateau to retract the lateral gastrocnemius posteriorly and medially, exposing the PLC of the knee. Results: Noble structures are easily exposed and protected. The common fibular nerve is dissected and reclined posteriorly, and the popliteus vessels are reclined posteriorly and medially, protected by the lateral gastrocnemius. Passing under the BF tendon allows a better vision of the PLC along with less constraint than passing above, as the working window is further away from the femoral insertion of the lateral gastrocnemius. Discussion/Conclusion: The present surgical approach allows a simple, safe, and reproducible exposure of the PLC of the knee.

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