Dipartimento di Neuroscienze, Università di Padova, Via Giustiniani, 5, 35128, Padova, Italy.
J Pediatr Surg. 2011 Feb;46(2):405-7. doi: 10.1016/j.jpedsurg.2010.09.055.
We report on a 6-year-old child presenting with subacute foot drop. Neurophysiologic and radiologic studies revealed a peroneal nerve compression secondary to fibular exostosis. Before undergoing surgical removal of the exostosis, the patient underwent further neurophysiologic and ultrasonographic evaluation that showed the presence of an accessory peroneal nerve branch that caused gastrocnemius involvement. Findings at surgery confirmed the supposed anatomical variant. Both nerve components were carefully preserved during the operative procedure. The association of ultrasonographic and neurophysiologic studies was crucial in identifying the etiopathologic mechanism and anatomical picture and provided clinicians and surgeons with important information in planning the procedure.
我们报告了一例 6 岁儿童出现亚急性足下垂。神经生理和影像学研究显示腓骨外生骨疣导致腓总神经受压。在接受外生骨疣切除手术之前，患者接受了进一步的神经生理和超声检查，显示存在导致腓肠肌受累的副腓总神经分支。手术中的发现证实了假设的解剖变异。在手术过程中，仔细保护了两个神经成分。超声和神经生理研究的联合应用对于确定病因和解剖学特征至关重要，并为临床医生和外科医生提供了重要信息，有助于手术计划。
