Celano Emma, Fleury Christopher M, Mantilla-Rivas Esperanza, Nasser Jacob S, Phan Tiffany, Manrique Monica, Oh Albert K, Keating Robert F, Rogers Gary F
Department of Neurosurgery, Children's National Hospital, Washington, D.C.
Department of Plastic Surgery and Reconstructive Surgery, Children's National Hospital, Washington, D.C.
Plast Reconstr Surg Glob Open. 2021 Mar 15;9(3):e3484. doi: 10.1097/GOX.0000000000003484. eCollection 2021 Mar.
Tibial nerve entrapment is uncommon in the pediatric population, and presents diagnostic and treatment challenges. We present the unusual case of a 3-year-old male child with progressive lower leg atrophy of an unknown etiology. Preoperative electrodiagnostic testing and magnetic resonance imaging suggested proximal tibial neuropathy. Surgical exploration showed compression of the tibial nerve at the inferior fascial edge of the long head of the biceps femoris and at the soleal sling. Release and external neurolysis led to improvement of distal leg motor function.
胫神经卡压在儿科人群中并不常见，且存在诊断和治疗挑战。我们报告了一例不寻常的病例，一名3岁男童出现病因不明的进行性小腿萎缩。术前电诊断测试和磁共振成像提示近端胫神经病变。手术探查显示在股二头肌长头的下筋膜边缘和比目鱼肌吊带处胫神经受压。松解和外膜神经松解术使小腿远端运动功能得到改善。
