[Treatment of common fibular nerve secondary compression syndrome].
OBJECTIVE
To investigate the mechanism, diagnosis, and treatment of common fibular nerve compression syndrome secondary to sciatic nerve injury.


METHODS
Based on the clinical manifestation and Tinel's sign at fibular tunnel, 5 cases of common fibular nerve secondary compression following sciatic nerve injury were identified and treated by decompression and release of fibular tunnel. All 5 cases were followed up for 13-37 months, 25 months in average, and were evaluated in dorsal flexion strength of ankle.


RESULTS
The dorsal flexion strength of ankle in 4 cases increased from 0-I degrees to III-V degrees, and did not recover in 1 case.


CONCLUSIONS
Fibular tunnel is commonly liable to fibular nerve compression after sciatic nerve injury. Once the diagnosis is established, either immediate decompression and release of the entrapped nerve should be done or simultaneous release of fibular tunnel is recommended when the sciatic nerve is repaired.
Wang
Yu-zhi
YZ
Department of Orthopedic Surgery, Huaibei People's Hospital, Huaibei Anhui, P. R. China 235000.
Ma
Guang-wen
GW
Liu
Qi-ming
QM
D000293:Adolescent; D000328:Adult; D019299:Decompression, Surgical; D005260:Female; D005528:Foot / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery*; D010543:Peroneal Nerve / Q000473:pathology / Q000601:surgery*; D012584:Sciatic Nerve / Q000293:injuries*