This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by MONT, M. A.
Right arrow Articles by HUNGERFORD, D. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MONT, M. A.
Right arrow Articles by HUNGERFORD, D. S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery 78:863-9 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

The Operative Treatment of Peroneal Nerve Palsy*

MICHAEL A. MONT, M.D.{dagger}, A. LEE DELLON, M.D.{dagger}, FRANKLIN CHEN, M.D.{dagger}, MARC W. HUNGERFORD, M.D.{dagger}, KENNETH A. KRACKOW, M.D.{ddagger} and DAVID S. HUNGERFORD, M.D.{dagger}BALTIMORE, MARYLAND

Investigation performed at the Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore

We retrospectively reviewed the results of operative decompression for peroneal nerve palsy in thirty-one patients who had been managed between 1980 and 1990. All patients had been managed non-operatively for at least two months after they had initially been seen. Intraoperatively, we found epineurial fibrosis and bands of fibrous tissue constricting the peroneal nerve at the level of the fibular head and at the proximal origin of the peroneus longus muscle. At a mean of thirty-six months (range, twelve to seventy-two months) postoperatively, thirty (97 per cent) of the thirty-one patients reported subjective and functional improvement and were able to discontinue the use of the ankle-foot orthosis. In contrast, only three of nine patients who had been managed non-operatively reported subjective and functional improvement (p < 0.01). Peroneal nerve palsy does not always resolve spontaneously; if it is left untreated, the loss of dorsiflexion of the ankle and persistent paresthesias can result in severe functional disability. Therefore, if non-operative measures do not lead to improvement within two months, we believe that operative decompression should be considered.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J. Am. Podiatr. Med. Assoc.Home page
S. C. Nelson and E. R. Little Jr.
The 36-Item Short-Form Health Survey Outcome Evaluation for Multiple Lower-Extremity Nerve Decompressions in Diabetic Peripheral Neuropathy: A Pilot Study
J Am Podiatr Med Assoc, March 1, 2007; 97(2): 121 - 125.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
P. Haggis, P. Yates, C. Blakeway, D. Fick, D. A. F. Morgan, M. Holt, and D. Wood
Compartment syndrome following total knee arthroplasty: A REPORT OF SEVEN CASES
J Bone Joint Surg Br, March 1, 2006; 88-B(3): 331 - 334.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
R. K. Kadiyala, A. Ramirez, A.E. Taylor, C. L. Saltzman, and M. D. Cassell
The blood supply of the common peroneal nerve in the popliteal fossa
J Bone Joint Surg Br, March 1, 2005; 87-B(3): 337 - 342.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. D. Conway, M. A. Mont, and H. P. Bezwada
Arthrodesis of the Knee
J. Bone Joint Surg. Am., April 1, 2004; 86(4): 835 - 848.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. P. Nogueira, D. Paley, A. Bhave, A. Herbert, C. Nocente, and J. E. Herzenberg
Nerve Lesions Associated with Limb-Lengthening
J. Bone Joint Surg. Am., August 1, 2003; 85(8): 1502 - 1510.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. J. Saleh, D. P. Hoeffel, R. A. Kassim, and G. Burstein
Complications After Revision Total Knee Arthroplasty
J. Bone Joint Surg. Am., January 21, 2003; 85(90001): S71 - 74.
[Full Text] [PDF]

Home page
 JBJSHome page
E. A. SALVATI, V. D. PELLEGRINI, N. E. SHARROCK, P. A. LOTKE, D. W. MURRAY, H. POTTER, and G. H. WESTRICH
Symposium - Recent Advances in Venous Thromboembolic Prophylaxis During and After Total Hip Replacement
J. Bone Joint Surg. Am., February 1, 2000; 82(2): 252 - 70.
[Full Text]

Home page
 JBJSHome page
A. SARMIENTO and A. D. K. GOSWAMI
Thromboembolic Prophylaxis with Use of Aspirin, Exercise, and Graded Elastic Stockings or Intermittent Compression Devices in Patients Managed with Total Hip Arthroplasty
J. Bone Joint Surg. Am., March 1, 1999; 81(3): 339 - 46.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. WARWICK, J. HARRISON, D. GLEW, A. MITCHELMORE, T. J. PETERS, and J. DONOVAN
Comparison of the Use of a Foot Pump with the Use of Low-Molecular-Weight Heparin for the Prevention of Deep-Vein Thrombosis after Total Hip Replacement. A Prospective, Randomized Trial
J. Bone Joint Surg. Am., August 1, 1998; 80(8): 1158 - 66.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. C. AYERS, D. A. DENNIS, N. A. JOHANSON, and V. D. PELLEGRINI JR.
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Common Complications of Total Knee Arthroplasty*{{dagger}}
J. Bone Joint Surg. Am., February 1, 1997; 79(2): 278 - 311.
[Full Text]