J Korean Foot Ankle Soc.  2022 Mar;26(1):54-58. 10.14193/jkfas.2022.26.1.54.

Intra-Osseous Nerve Transposition in Iatrogenic Injury of the Superficial Peroneal Nerve: Two Case Reports

Affiliations
  • 1Department of Orthopedic Surgery, Yes Hospital Guro, Korea
  • 2Seojong Sports Medicine & Performance Center, Seoul, Korea

Abstract

Superficial peroneal nerve (SPN) injuries happen occasionally during surgical treatment of fibular fracture, lateral ankle ligament repair, etc. These injuries are caused because of the variable location of the SPN. It is the injuries are usually treated by steroid injections or anticonvulsants. However, neural symptoms may not respond to treatment and may persist and progress to a painful neuroma. Intractable pain may need surgical treatment. We examined two cases of iatrogenic postoperative SPN injury, and we treated them with transection of the SPN and the intraosseous transposition of the proximal nerve stump using the thrombin-fibrinogen complex with satisfactory outcomes. We report these two cases with a review of the relevant literature.

Keyword

Superficial peroneal nerve; Injury; Neuroma; Transection; Transposition
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