Peroneal Neuropathy after Tibio-Fibular Fracture
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Objective To investigate the injury mechanism in patients who had peroneal neuropathy after a tibio-fibular fracture and the correlation between tibio-fi bular fracture location and the severity of the peroneal neuropathy by using electrodiagnosis. Method Thirty-four patients with peroneal neuropathy after a tibio-fibular fracture were recruited for this study. Their medical records, radiologic and electrodiagnostic findings were investigated retrospectively. They were divided into 2 groups according to the existence of a fibular head fracture. The group of patients without the fibular head fracture was further classified according to the criteria of Orthopedic Trauma Association (OTA)classification. The differences between the two groups in the severity of the neuropathy and electrodiagnostic fi ndings were evaluated. Results Nine cases (26.5%) had tibio-fi bular fractures with a coexisting fibular-head fracture and 25 cases (73.5%)had tibio-fibular fractures without fractures in the fibular-head area. Th ere was no statistical significance in the correlation between the existence of the fibular head fracture and the severity of the electrodiagnostic findings. Neither was there any statistically significant relationship between the site of the tibio-fibular fracture and the severity of the peroneal neuropathy (p>0.05). Conclusion This study showed there were numerous cases with common peroneal neuropathy after tibiofi bular fracture without a coexisting fibular-head fracture, which shows the importance of indirect nerve injury mechanisms as well as that of direct nerve injury as a cause of peroneal neuropathy. In addition, this study showed that there was no statistically signifi cant correlation between the site of tibio-fibular fracture and the severity of peroneal neuropathy.
Abstract
Objective To investigate the injury mechanism in patients who had peroneal neuropathy after a tibio-fibular fracture and the correlation between tibio-fi bular fracture location and the severity of the peroneal neuropathy by using electrodiagnosis. Method Thirty-four patients with peroneal neuropathy after a tibio-fibular fracture were recruited for this study. Their medical records, radiologic and electrodiagnostic findings were investigated retrospectively. They were divided into 2 groups according to the existence of a fibular head fracture. The group of patients without the fibular head fracture was further classified according to the criteria of Orthopedic Trauma Association (OTA)classification. The differences between the two groups in the severity of the neuropathy and electrodiagnostic fi ndings were evaluated. Results Nine cases (26.5%) had tibio-fi bular fractures with a coexisting fibular-head fracture and 25 cases (73.5%)had tibio-fibular fractures without fractures in the fibular-head area. Th ere was no statistical significance in the correlation between the existence of the fibular head fracture and the severity of the electrodiagnostic findings. Neither was there any statistically significant relationship between the site of the tibio-fibular fracture and the severity of the peroneal neuropathy (p>0.05). Conclusion This study showed there were numerous cases with common peroneal neuropathy after tibiofi bular fracture without a coexisting fibular-head fracture, which shows the importance of indirect nerve injury mechanisms as well as that of direct nerve injury as a cause of peroneal neuropathy. In addition, this study showed that there was no statistically signifi cant correlation between the site of tibio-fibular fracture and the severity of peroneal neuropathy.
참고문헌 (24)
- Clawson DK, "The late consequences of sciatic nerve injury", J Bone Joint Surg Br, 42, pp.213~225 (1960)
- Katirji MB, "Common peroneal mononeuropathy: a clinical and electrophysiologic study of 116 lesions", Neurology, 38, pp.1723~1728 (1988)
- Berry H, "Common peroneal nerve palsy: a clinical and electrophysiological review", J Neurol Neurosurg Psychiatry, 39, pp.1162~1171 (1976)
- Smith T, "Clinical and electro physiological recovery from peroneal palsy", Acta Neurol Scand, 74, pp.328~335 (1986)
- Oh SJ, "Distal sensory nerve conduction of the superficial pero neal nerve: new method and its clinical application", Muscle Nerve, 24, pp.689~694 (2001)
- Marciniak C, "Practice parameter: utility of electrodiagnostic techniques in evaluating patients with suspected peroneal neuropathy: an evidence-based review", Muscle Nerve, 31, pp.520~527 (2005)
- Ayyar R, "MR imaging of the lower leg versus clinical electrophysiologic examination in the differential diagnosis of neurogenic foot drop", AJNR Am J Neuroradiol, 24, pp.1273~1274 (2003)
- Singh H, "Electrophysiological study of peroneal palsy", J Neurol Neurosurg Psychiatry, 37, pp.1202~1213 (1974)
- Masakado Y, "Clinical neurophysiology in the diagnosis of peroneal nerve palsy", Keio J Med, 57, pp.84~89 (2008)
- Kiechl S, "Clinical and Electrodiagnostic Work-Up of Peripheral Nerve Lesions In High resolution sonography of the peripheral nervous system", pp.52~53 (2008), Springer
- Dumitru D, "Peripheral nervous system's reaction to injury In Electrodiagnostic medicine", pp.129~ (2002), Hanley & Belfus
- Dumitru D, "Nerve conduction studies In Electrodiagnostic medicine", pp.159~223 (2002), Hanley & Belfus
- Kim DH, "Clinical and electrophysiologic review of patients with common peroneal mononeuropathy", J Korean EMG Electrodiagn Med, 2, pp.17~23 (2000)
- Katirji B, "Peroneal neuropathy", Neurol Clin, 17, pp.567~591 (1999)
- Marsh JL, "Fracture and dislocation classifi cation compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee", J Orthop Trauma, 21, pp.S1~S133 (2007)
- Meals RA, "Peroneal-nerve palsy complicating ankle sprain. Report of two cases and review of the literature", J Bone Joint Surg Am, 59, pp.966~968 (1977)
- Johnston EC, "Tension neuropathy of the superfi cial peroneal nerve: associated conditions and results of release", Foot Ankle Int, 20, pp.576~582 (1999)
- Stoff MD, "Common peroneal nerve palsy following inversion ankle injury: a report of two cases", Phys Th er, 62, pp.1463~1464 (1982)
- Haftek J, "Stretch injury of peripheral nerve. Acute eff ects of stretching on rabbit nerve", J Bone Joint Surg Br, 52, pp.354~365 (1970)
- Nobel W, "Peroneal palsy due to hematoma in the common peroneal nerve sheath after distal torsional fractures and inversion ankle sprains", J Bone Joint Surg Am, 48, pp.1484~1495 (1966)
- Whitesides TE, "Acute Compartment Syndrome: Update on Diagnosis and Treatment", J Am Acad Orthop Surg, 4, pp.209~218 (1996)
- Baima J, "Evaluation and treatment of peroneal neuropathy", Curr Rev Musculoskelet Med, 1, pp.147~153 (2008)
- Vural M, "Delayed radial nerve palsy due to entrapment of the nerve in the callus of a distal third humerus fracture", Turk Neurosurg, 18, pp.194~196 (2008)
- Bodner G, "Radial nerve palsy associated with humeral shaft fracture: evaluation with US--initial experience", Radiology, 219, pp.811~816 (2001)