scholarly journals Common Peroneal Nerve Injury Related to Small Saphenous Vein Surgery: Report of 2 Cases and Review of the Literature

2021 ◽  
pp. 24-30
Author(s):  
Sebastiano Mura ◽  
Fabrizio De Biasio ◽  
Nicola Zingaretti ◽  
Anna Scalise ◽  
Pier Camillo Parodi
Keyword(s):  
Saphenous Vein ◽  
Peroneal Nerve ◽  
Treatment Strategies ◽  
Common Peroneal Nerve ◽  
Review Of The Literature ◽  
Pertinent Literature ◽  
Iatrogenic Damage ◽  
Peroneal Nerve Injury ◽  
The Common ◽  
Nerve Surgery

Although iatrogenic damage is less often involved, deep nerve injuries are reported especially as a result of small saphenous vein (SSV) dissection. Complete or partial division of the common peroneal nerve (CPN) during varicose vein operations causes substantial and serious disability. Most CPN injuries recover spontaneously; nonetheless, some require nerve surgery. Treatment depends on the nature of CPN injury. This report chronicles 2 instances of CPN injury after SSV surgery, addressing treatment strategies and therapeutic gains. The pertinent literature is also reviewed.

Iatrogenic common peroneal nerve injury during harvesting of semitendinosus tendon for anterior cruciate ligament reconstruction

2021 ◽  
Vol 14 (4) ◽  
pp. e240736
Author(s):  
Raf Mens ◽  
Albert van Houten ◽  
Roy Bernardus Gerardus Brokelman ◽  
Roy Hoogeslag
Keyword(s):  
Anterior Cruciate Ligament ◽  
Nerve Injury ◽  
Peroneal Nerve ◽  
Cruciate Ligament ◽  
Common Peroneal Nerve ◽  
Peroneal Nerve Injury ◽  
The Common ◽  
Anterior Cruciate ◽  
Incision Technique

We present a case of iatrogenic injury to the common peroneal nerve (CPN) occurring due to harvesting of a hamstring graft, using a posterior mini-incision technique. A twitch of the foot was noted on retraction of the tendon stripper. After clinically diagnosing a CPN palsy proximal to the knee, the patient was referred to a neurosurgeon within 24 hours. An electromyography (EMG) was not obtained since it cannot accurately differentiate between partial and complete nerve injury in the first week after injury. Because the nerve might have been transacted by the tendon stripper, surgical exploration within 72 hours after injury was indicated. An intraneural haematoma was found and neurolysis was performed to decompress the nerve. Functioning of the anterior cruciate ligament was satisfactory during follow-up. Complete return of motor function of the CPN was observed at 1-year follow-up, with some remaining hypoaesthesia.

Intraneural Ganglia of the Common Peroneal Nerve in Children: Case Report and Review of the Literature

2016 ◽  
Vol 86 ◽  
pp. 510.e11-510.e17 ◽  
Author(s):  
Alessandro Consales ◽  
Mattia Pacetti ◽  
Alessia Imperato ◽  
Maura Valle ◽  
Armando Cama
Keyword(s):  
Case Report ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Review Of The Literature ◽  
The Common

The Limit of Graft Length in the Experimental use of Muscle Grafts for Nerve Repair

1993 ◽  
Vol 18 (2) ◽  
pp. 165-170 ◽  
Author(s):  
T. E. J. HEMS ◽  
M. A. GLASBY
Keyword(s):  
Peripheral Nerve ◽  
Peroneal Nerve ◽  
Nerve Repair ◽  
Common Peroneal Nerve ◽  
Nerve Grafts ◽  
The Common ◽  
Nerve Surgery ◽  
Experimental Use ◽  
Rabbit Sciatic Nerve ◽  
Better Than

In order to investigate whether there is any length limit for the success of freeze-thawed muscle grafts when used for peripheral nerve repair, an experimental study was undertaken in the rabbit. Previous work has shown 4 cm muscle grafts in the rabbit sciatic nerve to be successful. On this basis 5 cm and 10 cm muscle grafts were inserted into the common peroneal nerve and compared with 5 cm and 10 cm free nerve grafts. Recovery was assessed after 250 days using whole nerve physiology, weights of innervated muscles, and histological examination of the nerve. At both 5 cm and 10 cm the nerve grafts performed significantly better than the muscle grafts, the 10 cm muscle grafts being totally ineffective. The implications of these results for the application of freeze-thawed muscle grafting in peripheral nerve surgery and the possible factors limiting length of grafting are discussed.

Injury to the Common Peroneal Nerve During Surgery of the Lesser Saphenous Vein

1999 ◽  
Vol 14 (1) ◽  
pp. 26 ◽  
Author(s):  
G. Lucertini ◽  
A. Viacava ◽  
A. Grana ◽  
P. Belardi
Keyword(s):  
Saphenous Vein ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
The Common

scholarly journals Osteoid Osteoma of the Proximal Fibula: An Uncommon Location with the Indication for Open Surgery

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Bastian Marquass ◽  
Pierre Hepp ◽  
Jan Dirk Theopold ◽  
Nikolaus von Dercks ◽  
Thomas R. Blattert ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Open Surgery ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Complete Removal ◽  
Tumor Location ◽  
Mri Scan ◽  
Proximal Fibula ◽  
Iatrogenic Damage ◽  
The Common

Purpose. This is a case report of a patient with an osteoid osteoma of the proximal fibula. The objective is to illustrate a rare tumor location that requires open surgery due to closeness of neurological structures.Methods. Clinical and roentgenographic findings, treatment, and histological appearance are presented.Results. Local pain and swelling of the proximal fibula with improvement under salicylates led to the diagnosis of an osteoid osteoma, what was confirmed with an MRI scan. Due to proximity to the common peroneal nerve, we decided for open surgery. During the operation, the nerve was seen to cross the tumor site making it necessary to retract it to expose the entire tumor. Histologically, typical features of osteoid osteoma with a rather well-defined nidus surrounded by sclerotic bone were seen. A complete removal was performed.Conclusion. Osteoid osteomas of the proximal fibula are rare. When planning surgery, the common peroneal nerve must be identified, and its further distal course should be taken into account to avoid iatrogenic damage to the nerve.

Common peroneal nerve injury as a complication of short saphenous vein surgery

2007 ◽  
Vol 22 (1) ◽  
pp. 3-7 ◽  
Author(s):  
G K Atkin ◽  
T Round ◽  
V R Vattipally ◽  
S K Das
Keyword(s):  
Nerve Injury ◽  
Saphenous Vein ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
District General Hospital ◽  
Single Institution ◽  
Review Period ◽  
Peroneal Nerve Injury ◽  
Short Saphenous Vein ◽  
Invasive Techniques

Objectives: To determine the incidence of common peroneal nerve (CPN) injury following short saphenous vein surgery (SSV) in a UK district general hospital, and establish possible risk factors, and preventative strategies to minimize the risk of nerve injury following this type of surgery. Methods: Retrospective review of all cases of SSV surgery performed in a single institution during the period January 2002–October 2004. Results: Sixty-four patients underwent SSV surgery during the review period. Three patients (4.7%) developed a CPN injury postoperatively. One patient recovered fully after 24 h, whereas the other two patients' symptoms recovered within six months. All three patients had a saphenopopliteal junction (SPJ) located high above the popliteal skin crease. Conclusions: CPN injury during SSV surgery occurs with an appreciable frequency. In view of this, there is a need for a revised approach to the management of SSV disease, possibly incorporating less-invasive techniques such as endovenous closure.

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