Wang Yu-zhi, Ma Guang-wen, Liu Qi-ming
Department of Orthopedic Surgery, Huaibei People's Hospital, Huaibei Anhui, P. R. China 235000.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 May;16(3):166-7.
To investigate the mechanism, diagnosis, and treatment of common fibular nerve compression syndrome secondary to sciatic nerve injury.
Based on the clinical manifestation and Tinel's sign at fibular tunnel, 5 cases of common fibular nerve secondary compression following sciatic nerve injury were identified and treated by decompression and release of fibular tunnel. All 5 cases were followed up for 13-37 months, 25 months in average, and were evaluated in dorsal flexion strength of ankle.
The dorsal flexion strength of ankle in 4 cases increased from 0-I degrees to III-V degrees, and did not recover in 1 case.
Fibular tunnel is commonly liable to fibular nerve compression after sciatic nerve injury. Once the diagnosis is established, either immediate decompression and release of the entrapped nerve should be done or simultaneous release of fibular tunnel is recommended when the sciatic nerve is repaired.
探讨坐骨神经损伤继发腓总神经卡压综合征的机制、诊断及治疗方法。
根据临床表现及腓骨小头处Tinel征，确诊5例坐骨神经损伤继发腓总神经卡压患者，并采用腓骨小头处减压松解术进行治疗。5例患者均获随访，随访时间13～37个月，平均25个月，评估踝关节背伸力量。
4例患者踝关节背伸力量从0～Ⅰ级恢复至Ⅲ～Ⅴ级，1例未恢复。
坐骨神经损伤后腓骨小头处易发生腓总神经卡压。一旦确诊，应立即对受压神经进行减压松解，或在修复坐骨神经时同时行腓骨小头处松解。
