Mino D E, Hughes E C
Clin Orthop Relat Res. 1984 May(185):203-6.
Peripheral nerve injury occasionally results from long bone fractures, but bony entrapment of a peripheral nerve occurs infrequently. Bony entrapment of a peripheral nerve is usually associated with upper extremity fractures. In a 34-year-old man bony entrapment of the superficial peroneal nerve occurred in a healed midshaft fibular fracture. The patient complained of progressive pain over the distribution of the superficial peroneal nerve after sustaining a closed displaced tibial and fibular fracture that healed in nonanatomic alignment. Exploration revealed bony entrapment of the superficial peroneal nerve in the fracture callus, with reactive neuroma formation. Excision of the neuroma resulted in complete relief of the symptoms. Persistent pain over the distal anterolateral leg and dorsal foot following a fibular and tibial fracture is usually derived from a compartment syndrome. If this has been ruled out, the differential diagnosis should include bony entrapment of the superficial peroneal nerve.
周围神经损伤偶尔由长骨骨折引起，但周围神经的骨质嵌压很少见。周围神经的骨质嵌压通常与上肢骨折有关。一名34岁男性，腓浅神经在愈合的腓骨干中段骨折处发生骨质嵌压。该患者在闭合性移位胫腓骨骨折并以非解剖对线方式愈合后，出现腓浅神经分布区域渐进性疼痛。探查发现骨折骨痂内腓浅神经骨质嵌压，并伴有反应性神经瘤形成。切除神经瘤后症状完全缓解。腓骨和胫骨骨折后小腿远端前外侧和足背持续疼痛通常源于骨筋膜室综合征。如果已排除该综合征，鉴别诊断应包括腓浅神经骨质嵌压。
