Nerve entrapments related to muscle herniation

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Muscle herniation is a muscle protrusion through a fascial defect. It is a rarely reported cause of nerve entrapment. METHODS: We present a case of superficial fibular (peroneal) neuropathy associated with a fibularis (peroneus) brevis muscle herniation and a review of the literature on nerve entrapments secondary to muscle herniation unrelated to compartment syndrome. RESULTS: Eleven cases of nerve entrapments secondary to muscle herniation were identified. The superficial fibular nerve (SFN) was the most commonly entrapped nerve by fibularis muscle herniation. Patients presented with pain, numbness, or paresthesias, and an often tender, small palpable mass with a Tinel sign. Muscle MRI or ultrasound identified the lesion, and patients responded well to fasciotomy. CONCLUSIONS: The most commonly reported nerve entrapped by muscle herniation is the SFN secondary to fibularis muscle herniation. Characteristic clinical and imaging (MRI or ultrasound) features are diagnostic, and there is a salutary response to fasciotomy.

Original languageEnglish (US)
Pages (from-to)428-433
Number of pages6
JournalMuscle & nerve
Volume60
Issue number4
DOIs
StatePublished - Oct 1 2019

Fingerprint

Nerve Compression Syndromes
Muscles
Peroneal Neuropathies
Peroneal Nerve
Compartment Syndromes
Hypesthesia
Paresthesia
Ultrasonography
Pain

Keywords

  • compression
  • entrapment
  • fibularis
  • muscle herniation
  • superficial fibular nerve

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

Cite this

Nerve entrapments related to muscle herniation. / Tong, Olivia; Bieri, Phyllis L.; Herskovitz, Steven.

In: Muscle & nerve, Vol. 60, No. 4, 01.10.2019, p. 428-433.

Research output: Contribution to journalArticle

@article{b4d9cace1b8e495d99d9e539c27956fd,
title = "Nerve entrapments related to muscle herniation",
abstract = "BACKGROUND: Muscle herniation is a muscle protrusion through a fascial defect. It is a rarely reported cause of nerve entrapment. METHODS: We present a case of superficial fibular (peroneal) neuropathy associated with a fibularis (peroneus) brevis muscle herniation and a review of the literature on nerve entrapments secondary to muscle herniation unrelated to compartment syndrome. RESULTS: Eleven cases of nerve entrapments secondary to muscle herniation were identified. The superficial fibular nerve (SFN) was the most commonly entrapped nerve by fibularis muscle herniation. Patients presented with pain, numbness, or paresthesias, and an often tender, small palpable mass with a Tinel sign. Muscle MRI or ultrasound identified the lesion, and patients responded well to fasciotomy. CONCLUSIONS: The most commonly reported nerve entrapped by muscle herniation is the SFN secondary to fibularis muscle herniation. Characteristic clinical and imaging (MRI or ultrasound) features are diagnostic, and there is a salutary response to fasciotomy.",
keywords = "compression, entrapment, fibularis, muscle herniation, superficial fibular nerve",
author = "Olivia Tong and Bieri, {Phyllis L.} and Steven Herskovitz",
year = "2019",
month = "10",
day = "1",
doi = "10.1002/mus.26643",
language = "English (US)",
volume = "60",
pages = "428--433",
journal = "Muscle and Nerve",
issn = "0148-639X",
publisher = "John Wiley and Sons Inc.",
number = "4",

}

TY - JOUR

T1 - Nerve entrapments related to muscle herniation

AU - Tong, Olivia

AU - Bieri, Phyllis L.

AU - Herskovitz, Steven

PY - 2019/10/1

Y1 - 2019/10/1

N2 - BACKGROUND: Muscle herniation is a muscle protrusion through a fascial defect. It is a rarely reported cause of nerve entrapment. METHODS: We present a case of superficial fibular (peroneal) neuropathy associated with a fibularis (peroneus) brevis muscle herniation and a review of the literature on nerve entrapments secondary to muscle herniation unrelated to compartment syndrome. RESULTS: Eleven cases of nerve entrapments secondary to muscle herniation were identified. The superficial fibular nerve (SFN) was the most commonly entrapped nerve by fibularis muscle herniation. Patients presented with pain, numbness, or paresthesias, and an often tender, small palpable mass with a Tinel sign. Muscle MRI or ultrasound identified the lesion, and patients responded well to fasciotomy. CONCLUSIONS: The most commonly reported nerve entrapped by muscle herniation is the SFN secondary to fibularis muscle herniation. Characteristic clinical and imaging (MRI or ultrasound) features are diagnostic, and there is a salutary response to fasciotomy.

AB - BACKGROUND: Muscle herniation is a muscle protrusion through a fascial defect. It is a rarely reported cause of nerve entrapment. METHODS: We present a case of superficial fibular (peroneal) neuropathy associated with a fibularis (peroneus) brevis muscle herniation and a review of the literature on nerve entrapments secondary to muscle herniation unrelated to compartment syndrome. RESULTS: Eleven cases of nerve entrapments secondary to muscle herniation were identified. The superficial fibular nerve (SFN) was the most commonly entrapped nerve by fibularis muscle herniation. Patients presented with pain, numbness, or paresthesias, and an often tender, small palpable mass with a Tinel sign. Muscle MRI or ultrasound identified the lesion, and patients responded well to fasciotomy. CONCLUSIONS: The most commonly reported nerve entrapped by muscle herniation is the SFN secondary to fibularis muscle herniation. Characteristic clinical and imaging (MRI or ultrasound) features are diagnostic, and there is a salutary response to fasciotomy.

KW - compression

KW - entrapment

KW - fibularis

KW - muscle herniation

KW - superficial fibular nerve

UR - http://www.scopus.com/inward/record.url?scp=85072354117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072354117&partnerID=8YFLogxK

U2 - 10.1002/mus.26643

DO - 10.1002/mus.26643

M3 - Article

C2 - 31325324

AN - SCOPUS:85072354117

VL - 60

SP - 428

EP - 433

JO - Muscle and Nerve

JF - Muscle and Nerve

SN - 0148-639X

IS - 4

ER -