Combined peroneal and proximal tibial nerve palsies.
Combined compression of both the common peroneal nerve and the proximal tibial nerve at the level of the popliteal fossa is rare. Recently, an anatomic site of compression of the proximal tibial nerve at the soleal sling (originating arch for the soleus muscle) has been described in cadavers. The present report includes three patients who had a combined compression of the common peroneal nerve at the fibular neck (fibular tunnel syndrome) and compression of the proximal tibial nerve at the soleal sling (soleal sling syndrome). In each case, blunt trauma was the precipitating event. Neurolysis of both nerves resulted in restoration of motor and sensory function in each of these three patients. This is the first clinical report illustrating combined neurolysis of the common peroneal at the knee and the proximal tibial nerve in the soleal sling.
Williams
Eric H
EH
Division of Plastic, Reconstructive and Maxillofacial Surgery, Johns Hopkins University, Baltimore, MD, USA.
Williams
Christopher G
CG
Rosson
Gedge D
GD
Dellon
A Lee
AL
D000328:Adult; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010543:Peroneal Nerve / Q000293:injuries / Q000601:surgery; D020427:Peroneal Neuropathies / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013979:Tibial Nerve / Q000293:injuries / Q000601:surgery; D020429:Tibial Neuropathy / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery