Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: Case report

Benjamin T. Himes; Thomas J. Wilson; Andres A. Maldonado; Naveen S. Murthy; Robert J. Spinner

doi:10.3171/2017.2.JNS162711

Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: Case report

Benjamin T. Himes, Thomas J. Wilson, Andres A. Maldonado, Naveen S. Murthy, Robert J. Spinner

Research output: Contribution to journal › Article › peer-review

Abstract

The authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.

Original language	English (US)
Pages (from-to)	1589-1592
Number of pages	4
Journal	Journal of neurosurgery
Volume	128
Issue number	5
DOIs	https://doi.org/10.3171/2017.2.JNS162711
State	Published - May 2018
Externally published	Yes

Keywords

Peripheral nerve
Peroneal nerve compression
Peroneal neuropathy

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.3171/2017.2.JNS162711

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title = "Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: Case report",

abstract = "The authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.",

keywords = "Peripheral nerve, Peroneal nerve compression, Peroneal neuropathy",

author = "Himes, {Benjamin T.} and Wilson, {Thomas J.} and Maldonado, {Andres A.} and Murthy, {Naveen S.} and Spinner, {Robert J.}",

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AU - Wilson, Thomas J.

AU - Maldonado, Andres A.

AU - Murthy, Naveen S.

AU - Spinner, Robert J.

N1 - Publisher Copyright: © AANS, 2018.

PY - 2018/5

Y1 - 2018/5

N2 - The authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.

AB - The authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.

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KW - Peroneal nerve compression

KW - Peroneal neuropathy

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Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: Case report

Abstract

Keywords

ASJC Scopus subject areas

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