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Article: Deep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study

TitleDeep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study
Authors
KeywordsAnkle
Deep peroneal nerve
Dislocation
External fixator
Fracture
Toe drop
Issue Date2011
PublisherData 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?
AbstractBackground: 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.
Persistent Identifierhttp://hdl.handle.net/10722/138185
ISSN
2014 Impact Factor: 1.506
2014 SCImago Journal Rankings: 1.115
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLui, THen_HK
dc.contributor.authorChan, LKen_HK
dc.date.accessioned2011-08-26T14:42:43Z-
dc.date.available2011-08-26T14:42:43Z-
dc.date.issued2011en_HK
dc.identifier.citationFoot And Ankle International, 2011, v. 32 n. 5, p. 550-555en_HK
dc.identifier.issn1071-1007en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138185-
dc.description.abstractBackground: 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.en_HK
dc.languageengen_US
dc.publisherData Trace Publishing Company. The Journal's web site is located at http://www.faijournal.comen_HK
dc.relation.ispartofFoot and Ankle Internationalen_HK
dc.subjectAnkleen_HK
dc.subjectDeep peroneal nerveen_HK
dc.subjectDislocationen_HK
dc.subjectExternal fixatoren_HK
dc.subjectFractureen_HK
dc.subjectToe dropen_HK
dc.subject.meshAnkle Injuries - surgery-
dc.subject.meshExternal Fixators - adverse effects-
dc.subject.meshFractures, Bone - surgery-
dc.subject.meshPeroneal Nerve - injuries-
dc.subject.meshPeroneal Neuropathies - etiology-
dc.titleDeep peroneal nerve injury following external fixation of the ankle: Case report and anatomic studyen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, LK: lapki@hkucc.hku.hken_HK
dc.identifier.authorityChan, LK=rp00536en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3113/FAI.2011.0550en_HK
dc.identifier.pmid21733466-
dc.identifier.scopuseid_2-s2.0-79955714692en_HK
dc.identifier.hkuros189511en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79955714692&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue5en_HK
dc.identifier.spage550en_HK
dc.identifier.epage555en_HK
dc.identifier.isiWOS:000290139700014-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLui, TH=9237221000en_HK
dc.identifier.scopusauthoridChan, LK=7403540426en_HK

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