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Peroneal nerve entrapment

T Fabre1, C Piton, D Andre

  • 1Groupe Hospitalier Pellegrin, Bordeaux, France.

The Journal of Bone and Joint Surgery. American Volume
|February 20, 1998
PubMed
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Operative decompression effectively treats peroneal nerve entrapment, with most patients experiencing symptom relief and motor function recovery. Early surgical intervention improves outcomes for this nerve condition.

Area of Science:

  • Neurology
  • Orthopedic Surgery
  • Neurosurgery

Background:

  • Peroneal nerve entrapment is a condition causing sensory and motor deficits.
  • Diagnosis often relies on clinical presentation and electrophysiological studies.
  • Idiopathic entrapment is common, with delayed referrals impacting treatment timelines.

Purpose of the Study:

  • To evaluate the outcomes of operative decompression for peroneal nerve entrapment.
  • To identify factors influencing recovery after surgical intervention.
  • To establish recommendations for surgical intervention timing.

Main Methods:

  • Sixty patients with peroneal nerve entrapment underwent operative decompression.
  • Diagnosis was confirmed using electrophysiological studies.

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  • Outcomes were assessed based on symptom resolution and motor function recovery using the Medical Research Council grading system.

    • Main Results:

    • Complete sensory recovery occurred in 12 of 22 patients with sensory-only symptoms.
    • Good postoperative motor function recovery was observed in 87% of patients with both sensory and motor symptoms.
    • All 7 patients with known etiologies showed improvement postoperatively.

    Conclusions:

    • Operative decompression is an effective treatment for peroneal nerve entrapment.
    • Prompt surgical intervention, especially when symptoms persist for 3-4 months, is recommended.
    • Electrophysiological confirmation of diagnosis is crucial prior to surgery.