Article: Deep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study
| Title | Deep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study |
|---|---|
| Authors | Lui, TH Chan, LK |
| Keywords | Ankle Deep peroneal nerve Dislocation External fixator Fracture Toe drop |
| Issue Date | 2011 |
| Publisher | Data Trace Publishing Company. The Journal's web site is located at http://www.faijournal.com |
| Citation | Foot And Ankle International, 2011, v. 32 n. 5, p. 550-555 [How to Cite?] DOI: http://dx.doi.org/10.3113/FAI.2011.0550 |
| Abstract | Background: We present a case of deep peroneal nerve injury after application of external fixator and conducted a cadaveric study of the relationship of the deep peroneal nerve to the lateral tibial cortex. Materials and Methods: A case of toe drop after application of the external fixator is reported. Twelve cadaveric lower legs were dissected to identify the course of the deep peroneal nerve. The tibia were divided into four Zones with equal length. The course of the nerve through each Zone of the tibia was studied Result: In Zone 1, the deep peroneal nerve went around the fibular neck and was found on the interosseous membrane at the distal portion of Zone 1. In Zone 2, the nerve still lay on the interosseous membrane in all specimens at the posterior edge of the lateral tibia. In Zone 3, the nerve moved away from the interosseous membrane and had direct contact with the tibia in nine specimens. In Zone 4, the nerve was on the anterior surface of the distal tibia. Conclusion: The deep peroneal nerve can be injured during the application of a unilateral frame ankle external fixator. The nerve is particularly at risk in Zone 2 and 3. Clinical Relevance: The study provided an anatomic basis for the safe application of a unilateral external fixator of the tibia. Copyright © 2011 by the American Orthopaedic Foot & Ankle Society. |
| ISSN | 1071-1007 2011 Impact Factor: 1.218 2011 SCImago Journal Rankings: 0.072 |
| DOI | http://dx.doi.org/10.3113/FAI.2011.0550 |
| ISI Accession Number ID | WOS:000290139700014 |
| References | References in Scopus |
| dc.contributor.author | Lui, TH |
|---|---|
| dc.contributor.author | Chan, LK |
| dc.date.accessioned | 2011-08-26T14:42:43Z |
| dc.date.available | 2011-08-26T14:42:43Z |
| dc.date.issued | 2011 |
| dc.description.abstract | Background: We present a case of deep peroneal nerve injury after application of external fixator and conducted a cadaveric study of the relationship of the deep peroneal nerve to the lateral tibial cortex. Materials and Methods: A case of toe drop after application of the external fixator is reported. Twelve cadaveric lower legs were dissected to identify the course of the deep peroneal nerve. The tibia were divided into four Zones with equal length. The course of the nerve through each Zone of the tibia was studied Result: In Zone 1, the deep peroneal nerve went around the fibular neck and was found on the interosseous membrane at the distal portion of Zone 1. In Zone 2, the nerve still lay on the interosseous membrane in all specimens at the posterior edge of the lateral tibia. In Zone 3, the nerve moved away from the interosseous membrane and had direct contact with the tibia in nine specimens. In Zone 4, the nerve was on the anterior surface of the distal tibia. Conclusion: The deep peroneal nerve can be injured during the application of a unilateral frame ankle external fixator. The nerve is particularly at risk in Zone 2 and 3. Clinical Relevance: The study provided an anatomic basis for the safe application of a unilateral external fixator of the tibia. Copyright © 2011 by the American Orthopaedic Foot & Ankle Society. |
| dc.description.nature | Link_to_subscribed_fulltext |
| dc.identifier.citation | Foot And Ankle International, 2011, v. 32 n. 5, p. 550-555 [How to Cite?] DOI: http://dx.doi.org/10.3113/FAI.2011.0550 |
| dc.identifier.doi | http://dx.doi.org/10.3113/FAI.2011.0550 |
| dc.identifier.epage | 555 |
| dc.identifier.hkuros | 189511 |
| dc.identifier.isi | WOS:000290139700014 |
| dc.identifier.issn | 1071-1007 2011 Impact Factor: 1.218 2011 SCImago Journal Rankings: 0.072 |
| dc.identifier.issue | 5 |
| dc.identifier.pmid | 21733466 |
| dc.identifier.scopus | eid_2-s2.0-79955714692 |
| dc.identifier.spage | 550 |
| dc.identifier.uri | http://hdl.handle.net/10722/138185 |
| dc.identifier.volume | 32 |
| dc.language | eng |
| dc.publisher | Data Trace Publishing Company. The Journal's web site is located at http://www.faijournal.com |
| dc.publisher.place | United States |
| dc.relation.ispartof | Foot and Ankle International |
| dc.relation.references | References in Scopus |
| dc.subject.mesh | Ankle Injuries - surgery |
| dc.subject.mesh | External Fixators - adverse effects |
| dc.subject.mesh | Fractures, Bone - surgery |
| dc.subject.mesh | Peroneal Nerve - injuries |
| dc.subject.mesh | Peroneal Neuropathies - etiology |
| dc.subject | Ankle |
| dc.subject | Deep peroneal nerve |
| dc.subject | Dislocation |
| dc.subject | External fixator |
| dc.subject | Fracture |
| dc.subject | Toe drop |
| dc.title | Deep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study |
| dc.type | Article |