From the Department of Surgery, Division of Plastic Surgery (Dr. Leveille, Dr. Zhu, Dr. Barkho), the Michael G. DeGroote School of Medicine (Mr. Chen), the Department of Pediatric Orthopedic Surgery (Dr. Burrow), the McMaster Children's Hospital (Dr. Burrow, Dr. Barkho, and Dr. Tarnopolsky), the Department of Pediatric Radiology, McMaster Children's Hospital (Dr. Wang), McMaster University, Hamilton, Ontario.
J Am Acad Orthop Surg Glob Res Rev. 2023 Oct 12;7(10). doi: 10.5435/JAAOSGlobal-D-23-00123. eCollection 2023 Oct 1.
Peripheral nerve injuries due to mass effect from bony lesions can occur when the nerve exists in an anatomically constrained location, such as the common peroneal nerve at the fibular head which passes into the tight fascia of the lateral leg compartment. We report a case of a pediatric patient who developed a common peroneal nerve palsy secondary to an osteochondroma of the fibular head and describe the clinical evaluation, radiographic findings, and surgical approach. Rapid diagnosis and nerve decompression after the onset of symptoms restored full motor function at the 8-month postoperative mark.
由于骨病变的占位效应导致的周围神经损伤可能发生在神经处于解剖受限位置时，例如腓骨头处的腓总神经，它穿过外侧腿部间隔的紧绷筋膜。我们报告了一例小儿患者，由于腓骨头的骨软骨瘤而发生腓总神经麻痹，并描述了临床评估、影像学发现和手术入路。症状出现后迅速诊断和神经减压，在术后 8 个月时恢复了完全的运动功能。
