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Pediatric Peroneal Nerve Palsy Secondary to Fibular Osteochondroma

Cameron F Leveille1, Xi Ming Zhu, Jeffrey Chen

  • 1From the Department of Surgery, Division of Plastic Surgery (Dr. Leveille, Dr. Zhu, Dr. Barkho), the Michael G. DeGroote School of Medicine (Mr. Chen), the Department of Pediatric Orthopedic Surgery (Dr. Burrow), the McMaster Children's Hospital (Dr. Burrow, Dr. Barkho, and Dr. Tarnopolsky), the Department of Pediatric Radiology, McMaster Children's Hospital (Dr. Wang), McMaster University, Hamilton, Ontario.

Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
|October 19, 2023
PubMed

Insights

A pediatric osteochondroma near the fibular head caused common peroneal nerve palsy. Prompt surgical decompression successfully restored full motor function in this case report.

Area of Science:

  • Orthopedics
  • Neurology
  • Pediatric Surgery

Background:

  • Peripheral nerve injuries can arise from bony lesions compressing nerves in tight anatomical spaces.
  • The common peroneal nerve is particularly vulnerable at the fibular head due to the confined lateral leg compartment.

Observation:

  • A pediatric patient presented with common peroneal nerve palsy.
  • The palsy was attributed to an osteochondroma originating from the fibular head.

Findings:

  • Radiographic evaluation confirmed an osteochondroma impinging on the common peroneal nerve.
  • Surgical intervention involved decompression of the affected nerve.

Implications:

  • Early diagnosis and surgical nerve decompression are crucial for favorable outcomes in pediatric peroneal nerve palsy caused by bony lesions.
  • This case highlights the importance of considering bony masses in the differential diagnosis of pediatric nerve injuries.

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