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Article: Deep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study
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TitleDeep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study
 
AuthorsLui, TH
Chan, LK
 
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
 
CitationFoot And Ankle International, 2011, v. 32 n. 5, p. 550-555 [How to Cite?]
DOI: http://dx.doi.org/10.3113/FAI.2011.0550
 
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.
 
ISSN1071-1007
2013 Impact Factor: 1.626
2013 SCImago Journal Rankings: 1.202
 
DOIhttp://dx.doi.org/10.3113/FAI.2011.0550
 
ISI Accession Number IDWOS:000290139700014
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLui, TH
 
dc.contributor.authorChan, LK
 
dc.date.accessioned2011-08-26T14:42:43Z
 
dc.date.available2011-08-26T14:42:43Z
 
dc.date.issued2011
 
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.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationFoot 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.doihttp://dx.doi.org/10.3113/FAI.2011.0550
 
dc.identifier.epage555
 
dc.identifier.hkuros189511
 
dc.identifier.isiWOS:000290139700014
 
dc.identifier.issn1071-1007
2013 Impact Factor: 1.626
2013 SCImago Journal Rankings: 1.202
 
dc.identifier.issue5
 
dc.identifier.pmid21733466
 
dc.identifier.scopuseid_2-s2.0-79955714692
 
dc.identifier.spage550
 
dc.identifier.urihttp://hdl.handle.net/10722/138185
 
dc.identifier.volume32
 
dc.languageeng
 
dc.publisherData Trace Publishing Company. The Journal's web site is located at http://www.faijournal.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofFoot and Ankle International
 
dc.relation.referencesReferences in Scopus
 
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.subjectAnkle
 
dc.subjectDeep peroneal nerve
 
dc.subjectDislocation
 
dc.subjectExternal fixator
 
dc.subjectFracture
 
dc.subjectToe drop
 
dc.titleDeep peroneal nerve injury following external fixation of the ankle: Case report and anatomic study
 
dc.typeArticle
 
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