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Outcomes of Common Peroneal Nerve Decompression
John D King1, Chukwuweike U Gwam1, Natalie E Cignetti1
1Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA.
Cureus
|October 4, 2024
Summary
Surgical decompression for common peroneal nerve (CPN) neuropathy improved motor function, sensation, and pain in most patients. However, higher BMI and longer delays to surgery were linked to reduced odds of sensory recovery.
Area of Science:
- Neurology
- Orthopedic Surgery
- Neurosurgery
Background:
- Common peroneal nerve (CPN) neuropathy is a frequent lower extremity mononeuropathy.
- Surgical decompression (CPND) is considered for CPN neuropathy when recovery is delayed or absent.
Purpose of the Study:
- To evaluate patient outcomes following CPND performed by a single surgeon.
- To assess improvements in motor function, sensation, and pain after CPND.
Main Methods:
- A retrospective review of patient outcomes after CPND was conducted.
- Motor, sensation, and pain scores were assessed post-surgery.
- Demographic factors (age, comorbidities, time to surgery, BMI) were analyzed for outcome correlations using logistic regression.
Main Results:
- Significant improvements were observed in motor function (29/34 patients), sensation (19/42 patients), and pain (31/37 patients).
- No correlation was found between demographic factors and motor or pain improvement.
- A BMI > 29.15 and time from injury to surgery > 506 days were associated with decreased odds of sensory recovery.
Conclusions:
- CPND effectively improves objective motor function and subjective pain and sensation in patients with CPN neuropathy.
- Surgical intervention should be considered for CPN neuropathy to enhance functional outcomes.

