• Title, Summary, Keyword: Peroneal nerve

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Entrapment of Superficial Peroneal Nerve (A Case Report) (표재비골신경 포착증후군(1예보고))

  • Kim, Jin-Su;Cheon, Ho-Jun;Jeon, Jun-Mo
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.227-229
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    • 2008
  • We experienced a case of an athlete with a painful mass on the distal peroneal musculature after sports activity, and diagnosed as the entrapment syndrome of superficial peroneal nerve. We treated the case with the mini-open and subcutaneous fasciotomy to release the entrapped peroneal nerve. We report the case with a review of the literature.

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Compression Neuropathy of Superficial Peroneal Nerve and Deep Peroneal Nerve Following Acupuncture Treatment (A Case Report) (침술 후 발생한 표재 비골 신경 및 심 비골 신경의 손상(1예 보고))

  • Kim, Yu-Mi
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.170-174
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    • 2011
  • Acupuncture has been widely used to treat a variety of disease and symptoms. But various complications have been reported. Among them, peripheral nerve injuries have been reported less frequently than other complications. The purpose of this report is to describe what we believe to be the first case of delayed superficial and deep peroneal nerve compressive neuropathy caused by fibrotic mass formed by neglected broken acupuncture needle.

Sural nerve involvement accompanying peroneal nerve palsy (비골신경 마비에 따른 비복신경 손상의 정도)

  • Yoon, Won-Tae;Lee, Taek-Jun;Shin, Kyung-Jin;Kim, Byoung-Joon
    • Annals of Clinical Neurophysiology
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    • v.6 no.1
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    • pp.31-34
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    • 2004
  • Backgrounds: The pathway of the sural nerve (SN) is variable, but usually divided into medial and lateral sural branches joining the posterior tibial nerve (PTN) and the peroneal nerve (PN). The sural nerve may be affected by PN palsy. The frequency or the severity of SN involvement in peroneal palsy is not known. The purpose of the study is to investigate the frequency and the severity of the SN involvement by the peroneal nerve palsy. Methods: Total 85 patients were included with peroneal palsy. Amplitudes of distal peroneal, sural, and superficial peroneal nerves (SPN) were compared between normal and paralyzed sides. The frequency and severity of SN involvement by peroneal palsy were investigated. Results: Mean age was $48.4{\pm}17.4$ years old at the time of the test. Peroneal palsy was right side in 32, left in 38, and bilateral in 15 patients. Mean amplitudes of affected distal PN, SPN, and SN were $1.51{\pm}1.64mV$, $3.50{\pm}4.86{\mu}V$, and $10.42{\pm}6.59{\mu}V$ in right side, and $1.19{\pm}1.57mV$, $4.38{\pm}5.67{\mu}V$, and $11.06{\pm}6.87{\mu}V$ in left side, respectively. Sensory nerve action potential (SNAP) amplitude of the SN in the affected side was average $73.7{\pm}33.1%$ of normal, which was significantly lower than that in the normal side(p<0.01). The decrease of the sural SNAP amplitude was more than 15% in 39 out of 70 patients with unilateral peroneal palsy. Peroneal compound muscle action potential (CMAP) amplitude was not correlated with the amplitude of the sural SNAP. By complete peroneal palsy, SN SNAP amplitude was decreased to 4% of SNAP and $57.7{\pm}31.8%$ of that in normal side. Conclusions: PN injury without PTN involvement may induce reduction of sural SNAP amplitude. Because of the anatomic variation of SN, the electrophysiological findings are variable. It should be considered to interpret the location of the PN lesion.

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Peripheral Nerve Regeneration After Various Conditioned Side to Side Neurorrhaphy in Rats (말초신경 손상 후 측측문합을 이용한 신경이식시 신경이식의 수에 따른 신경재생 및 근육 기능 회복에 관한 비교 연구)

  • Kim, Sug-Won;Chung, Yoon-Kyu;Kang, Sang-Yoon;Cho, Pil-Dong
    • Archives of Reconstructive Microsurgery
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    • v.10 no.1
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    • pp.12-17
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    • 2001
  • Recovery of nerve injury is conditioned by various factors including physical state, injured site, cause of injury, and neurorrhaphy Many researchers have reported on regeneration of nerve using end to side neurorrhaphy. The purpose of this study was to examine regeneration of nerve in various conditioned side to side neurorrhaphy. Total of 25 male Sprague-Dawley rats weighing 220 to 250 gm were divided into five groups of five rats each. The group 1, sham group, composed of dissection only without nerve transaction. The group 2, control group, composed of nerve division only without neurorrhaphy or sural nerve graft. The group 3 composed of one segmental sural nerve graft between the tibial and peroneal nerve after division. Group 4 had two segment graft, and the group 5 with three segment graft, each segment being 6mm long and 5 mm apart. The side to side neurorrhaphy was performed between peroneal nerve and tibial nerve using segmental sural nerve graft in rats. We exposed the sciatic nerve, tibial nerve, peroneal nerve, and sural nerve on left side with prone position. The peroneal nerve was cut on the bifurcation site from tibial nerve and the side to side epineurial neurorrhaphy was performed between peroneal nerve and tibial nerve through 6 mm sural nerve segment graft with 11-0 nylon under operating microscope. The electromyography and the weight from ipsilateral tibialis anterior muscle was performed at one month after neurorrhaphy Peroneal and tibial nerve was examined at distal and proximal to the neurorrhaphy site by methylene blue stain under light microscope for histologic appearance. The number of nerve fibers were counted using the image analyzer. Statistically, both in electromyography and number of nerve fibers, the differences in values between the groups were significant.

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Treatment of Superficial Peroneal and Sural Nerve Lesions Unrelated to Laceration (열상에 의하지 않은 표재 비골 신경과 비복 신경 병변의 치료)

  • Lee, Woo-Chun;Kim, Yu-Mi;Ko, Han-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.179-183
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    • 2006
  • Purpose: To review the results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration. Materials and Methods: Eleven superficial peroneal and sural nerve lesions in eleven patients were surgically treated at our hospital with follow up of average 20.7 months (range, 9-64 months). The anatomical locations of the lesion were on superficial peroneal nerve in seven patients including two patients having ganglion and sural nerve in four patients. Two patients were male and the average age at surgery was 41.5 years (range, 23-57 years). Six cases developed after repetitive sprain and five cases had no trauma history. Clinical results were assessed according to the criteria of Pfeiffer and Cracchiolo. Results: The methods of operation were proximal resection of the nerve lesion in nine cases and removal of ganglion only in two cases. The results were excellent in four cases, good in five cases, fair in one case and poor in one case. Ten cases (10 patients) were satisfied with the result of treatment. Conclusion: We can expect satisfactory results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration.

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Case Report of Korean Medical Treatment on Acute Peroneal Nerve Palsy Patient Caused by Prolonged Immobilization (장시간 부동 자세로 야기된 급성 비골신경 마비 환자의 한방치료 증례보고)

  • Kim, Min-Soo;Kim, Jin-Hee;Lee, Ji-Young;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.127-136
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    • 2015
  • Objectives This study was carried out to investigate the clinical effects of Korean medical treatment on acute peroneal nerve palsy caused by prolonged immobilization. Methods One patient with acute peroneal nerve palsy was treated with various korean medical techniques such as acupuncture, moxibustion, cupping and herbal medicine, bee-venom acupuncture for 12 weeks. Manual Muscle Test, Range of motion, Numerical Rating Scale, Ankle-hindfoot scale, Digital infrared thermographing imaging system were used to evaluate treatment effect. Results After treatment, all the scales mentioned above were improved significantly. Conclusions This result showed that Korean medical treatment is effective on acute peroneal nerve palsy caused by prolonged immoblization.

Sural Nerve Entrapment and Tenosynovitis of Peroneus Longus by Hypertrophied Peroneal Tubercle: A Case Report (비후된 비골 결절에 의해 발생한 비복신경 포착 및 장비골건의 건막염: 증례 보고)

  • Lee, Dong Joo;Choi, Jun Young;Suh, Jin Soo
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.131-134
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    • 2018
  • A hypertrophied peroneal tubercle can present as a bony prominence at the lateral aspect of the foot and a peroneal tenosynovitis or tear. We report a case of a 52-year-old man complaining of lateral foot tingling pain and numbness. The sural nerve entrapment and peroneus longus tenosynovitis by hypertrophied peroneal tubercle were confirmed. Good results were obtained after excision of the hypertrophied peroneal tubercle and sural nerve release.

A Review of Research on the Treatment of Peroneal Nerve Palsy by Acupuncture and Moxibustion

  • Ryu, Hwa Yeon;Lee, Hyun;Yoon, Kwang Sik;Oh, Seo Young;Kong, Hae Jin;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • v.35 no.2
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    • pp.52-60
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    • 2018
  • Background: This was a retrospective review of published articles reporting acupuncture and moxibustion treatment of peroneal nerve palsy. Methods: On-line database searches were carried out using; Cochrane Library, Pubmed, CNKI, NDSL and OASIS to find articles reporting acupuncture and moxibustion treatment for peroneal nerve palsy. Duplicate articles and studies that were not relevant to the topic were excluded, along with review articles and commentaries. Results: 20 studies were selected, 18 clinical case studies (47 patients) and 2 randomized controlled trials (154 patients). Intervention treatments included acupuncture, moxibustion, bee-venom (BV), pharmacopuncture, electroacupuncture and acupotomy. Surprisingly, although peroneal nerve palsy is not a very rare disease, only 2 studies out of 20 carried out a randomized controlled trial. Conclusion: Although studies to date report the efficacy of acupuncture and moxibustion treatment in peroneal nerve palsy patients, the absence of objective evaluation and the absence in the reporting of side-effects remains an issue.

A Case Report on Foot Drop Caused by Common Peroneal Nerve Palsy (공통(共通) 비골신경(?骨神經) 마비(麻痺)로 발생한 foot drop 환자 치험 1례)

  • Kim, Su-Yeon;Lee, Dong-Won;Kim, Kyong-Soo;Choi, Jae-Hong
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.1
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    • pp.149-153
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    • 2004
  • This report present on a case of common peroneal nerve palsy effectively treated with oriental medical therapy. Common peroneal nerve palsy caused by compression of nerve, general illness(diabetes mellitus) etc. It occur foot drop, disorder of ankle dorsi-flexor and eversion, disorder of foot sensory. If nerve palsy is progressed, muscle atropy is occurred. This patient fall foot drop before two month ago without reason. He is diagnosed as peroneal nerve palsy by brain MRI, EMG and doctor's physical examination. This patient effectively treated by oriental medical therapy. Oriental medical therapy is herb medicine(kamisamul-tang), acupuncture(S36, S38, S40, S41, G34, G39, G40, G41, LIV3, LIV4, K3, B60), Electro-acupuncture, bee venom acupuncture, moxibustion, electro physical therapy(EST, SSP). Time of therapy is two months and sequela is nothing.

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Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test

  • Ryu, Seung Jun;Zhang, Ho Yeol
    • Journal of Korean Neurosurgical Society
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    • v.58 no.3
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    • pp.286-290
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    • 2015
  • We report a case of neurilemmoma of deep peroneal nerve sensory branch that triggered sensory change with compression test on lower extremity. After resection of tumor, there are evoked thermal changes on pre- and post-operative infrared (IR) thermographic images. A 52-year-old female presented with low back pain, sciatica, and sensory change on the dorsal side of the right foot and big toe that has lasted for 9 months. She also presented with right tibial mass sized 1.2 cm by 1.4 cm. Ultrasonographic imaging revealed a peripheral nerve sheath tumor arising from the peroneal nerve. IR thermographic image showed hyperthermia when the neurilemoma induced sensory change with compression test on the fibular area, dorsum of foot, and big toe. After surgery, the symptoms and thermographic changes were relieved and disappeared. The clinical, surgical, radiographic, and thermographic perspectives regarding this case are discussed.