Yıldırım Enis, Sarıkaya İlker A, İnan Muharrem
aOrthopedics and Traumatology Department, ADATIP Hospital, Sakarya bPediatric Orthopedics Department, Nişantaşi Orthopedic Center, Istanbul cOrthopedics and Traumatology Department, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey.
J Pediatr Orthop B. 2015 Sep;24(5):440-3. doi: 10.1097/BPB.0000000000000167.
The lateral exposure of the supracondylar femur includes the risk of damaging the neurovascular structures or tightening of the neurological structures within the popliteal fossa may occur as a complication of the osteotomy. Although different pathways of common peroneal nerve (CPN) have been reported throughout the literature, division of deep and superficial branches above the supracondylar femur level has not been reported. A 15-year-old boy with bilateral knee flexion contracture and spastic diplegic cerebral palsy underwent bilateral femoral distal extension osteotomy. The authors found an unusual higher division of CPN above the supracondylar femur level. This report is aimed at warning surgeons about the division of the CPN at a higher level and highlighting a need for a high-powered cadaveric research.
股骨髁上的外侧暴露存在损伤神经血管结构的风险，或者作为截骨术的并发症，腘窝内的神经结构可能会发生紧绷。尽管文献中已报道了腓总神经（CPN）的不同走行路径，但尚未有在股骨髁上水平以上分支为深支和浅支的报道。一名患有双侧膝关节屈曲挛缩和痉挛性双侧瘫脑瘫的15岁男孩接受了双侧股骨远端伸展截骨术。作者发现了在股骨髁上水平以上CPN的一种不寻常的高位分支情况。本报告旨在提醒外科医生注意CPN在更高水平的分支情况，并强调开展高能量尸体研究的必要性。
