Surgical Management of Peroneal Nerve Injury in Complex Sports Knee Injuries

Nath RK and Somasundaram C

Department Brachial Plexus and Peripheral Nerve Surgery, Texas Nerve and Paralysis Institute, USA

^*Correspondance to: Rahul Kumar Nath 

 PDF  Full Text DOI: 10.25107/2474-1647.1008

Abstract

Objective: Our study analyzes 6 operative knee-level peroneal nerve lesions and foot drop patients treated at our clinic.
Introduction: The most frequent lower extremity injuries resulting from sports and related recreational activities is peroneal nerve entrapment. This can be acute or can arise due to chronic overuse. Numerous etiologies have been identified. However, compression remains the main cause, which generally results in acute complete or partial foot drop.Method and Patients: This is a retrospective study of a series of 6 consecutive patients with foot drop resulting from sports and related injuries. For all patients, the preoperative clinical examination and electromyographic evaluation were performed. Nerve conduction and clinical function results showed injury to the peroneal nerve. Peroneal nerve decompression was performed in these patients in our study between 2007 and 2014.Results: Overall statistically significant clinical and functional improvement from pre-operative MRC grade 2.5 ± 0.8 to post-operative MRC grade 4.0 ± 0.9 (P value 0.007) was achieved.Conclusion: Results of peroneal nerve decompression in sports injury foot drop patients in our study produced remarkable clinical and functional recovery in foot anti-gravity (MRC grade 4.0) and walking gait.

Keywords

Sports injuries; Peroneal nerve; Decompression; Knee injury; Foot drop

Cite the article

Nath RK, Somasundaram C. Surgical Management of Peroneal Nerve Injury in Complex Sports Knee Injuries. Clin Surg. 2016; 1: 1008.