[Compression syndrome of the superficial fibular nerve. Case report].
The case of a female patient complaining of dysaesthesia and paraesthesia on the dorsum of her right foot and digits which failed to respond to conservative treatment is presented. 10 cm above the lateral malleolus, a muscle bulge of 2 cm was detected. Hoffmann-Tinel's sign was positive at this site. The diagnosis of nerve entrapment was confirmed by a conduction velocity block. Through an incision centered over the muscle bulge, the superficial fibular nerve was identified. It was found to be compressed by fascia. Fascial release and epineuriotomy resulted in complete recovery. Entrapment of the sensory superficial fibular nerve in the patient is thought to have been caused by prolonged work-related kneeling and squatting over many years.
Piza-Katzer
H
H
Abteilung für Plastische und Wiederherstellungschirurgle, Ludwig Boltzmann Institut für Qualitätssicherung, Wien.
Pilz
E
E
D000328:Adult; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy; D005260:Female; D005528:Foot / Q000294:innervation*; D006801:Humans; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery*; D009460:Neurologic Examination; D010292:Paresthesia / Q000209:etiology / Q000601:surgery; D010543:Peroneal Nerve / Q000473:pathology / Q000601:surgery*