Chiodo Christopher P, Miller Stuart D
Department of Orthopaedic Surgery, The Brigham and Women's Hospital, Boston, Massachusetts, USA.
Foot Ankle Int. 2004 Oct;25(10):689-94. doi: 10.1177/107110070402501001.
Several techniques have been described for the surgical treatment of symptomatic superficial peroneal neuromas, including transection of the nerve with burial in muscle or bone to prevent recurrence.
We compared in 27 consecutive patients the results of transection and burial of the proximal peroneal nerve stump into muscle (group A) with results of transection and burial of the proximal stump into bone (group B).
The perceived pain relief and improvement in mean pain score were significantly higher (p < .05) in group B than in group A. In addition, four patients in group A required revision neurotomy compared to none in group B.
For symptomatic superficial peroneal neuromas, transection with transposition of the proximal nerve stump into bone provides superior results compared with those of neurotomy with transposition of the proximal stump into muscle.
已经描述了几种用于有症状的腓浅神经瘤手术治疗的技术，包括将神经横断并埋入肌肉或骨中以防止复发。
我们在27例连续患者中比较了将腓总神经近端残端横断并埋入肌肉（A组）与将近端残端横断并埋入骨中（B组）的结果。
B组的感觉疼痛缓解和平均疼痛评分改善显著高于A组（p < 0.05）。此外，A组有4例患者需要进行翻修神经切断术，而B组无此情况。
对于有症状的腓浅神经瘤，将近端神经残端转位至骨内进行横断术比将近端残端转位至肌肉内进行神经切断术效果更好。
