یک مورد نادر از فلج عصب نازک نی پس از ترمیم داخلی منیسک خارجی
Abstract
1- Introduction
2- Case report
3- Discussion
Appendix A. Supplementary data
Research Data
References
Abstract
Case: We present a case of common peroneal nerve entrapment following inside-out lateral meniscus repair in a collegiate-level football player. To our knowledge, there are a limited number of cases describing this injury pattern in the literature, with none describing such in a college athlete.
Conclusion: This case demonstrates that even with appropriate precautionary use of accessory portals and careful retraction, nerve entrapment can still occur, but with the identification and treatment of the compression, patients and even elite athletes can make a full recovery and return to their previous level of function.
Introduction
The common peroneal nerve (CPN, common fibular nerve) is the lateral branch of the sciatic nerve and originates from the L4, L5, S1, S2 nerve roots [1–۳]. The CPN travels inferiorly and laterally from its origin at the apex of the popliteal fossa through the posterior compartment of the thigh along the medial border of the biceps femoris tendon and posterior to the lateral head of the gastrocnemius muscle. The nerve then enters the lateral compartment of the leg as it wraps around the fibular head and enters deep to the peroneus longus tendon before bifurcating into the deep peroneal nerve and the superficial peroneal nerve. The deep peroneal innervates the anterior compartment of the leg and provides sensation to the first web space; the superficial peroneal nerve innervates the lateral compartment of the leg and provides sensation to areas of the anterolateral lower leg and dorsal midfoot [1–۳].
CPN palsies manifest most frequently as foot drop or difficulty ambulating, but the presentation may be varied depending on the location and severity of nerve injury [2]. The most common cause of CPN palsy is nerve compression, however traumatic events including knee dislocation, leg lacerations, or direct, blunt trauma are also common causes of CPN injury [2]. Iatrogenic injury is less common, but wellrecognized as a potential cause of nerve palsy particularly in surgeries about the knee, such as total knee arthroplasty or even resulting from routine, postoperative care such as the use of compression stockings [4–۶]. There have only been a limited number of documented cases of common peroneal nerve palsy following meniscus repair [7–۹], and no such reports have been documented in a collegiate athlete.