Cardelia J M, Dormans J P, Drummond D S, Davidson R S, Duhaime C, Sutton L
Division of Orthopaedics, Robert Wood Johnson Medical School, Philadelphia, Pennsylvania, USA.
J Pediatr Orthop. 1995 Sep-Oct;15(5):574-7. doi: 10.1097/01241398-199509000-00004.
Osteochondroma of the proximal fibula is relatively common, but reports of this lesion in conjunction with peroneal nerve palsy have been scarce. Six patients with peroneal nerve palsy and fibular exostosis are presented with the results of electrical studies, radiographic evaluation, physical examination, and operative treatment. A wide variation in presentation and outcome was observed. Preoperative and postoperative electromyography and nerve-conduction studies are useful in evaluation. A heightened awareness of this entity is required to avoid permanent damage in an otherwise treatable condition.
腓骨近端骨软骨瘤相对常见,但关于该病变合并腓总神经麻痹的报道却很稀少。本文报告了6例伴有腓骨外生骨疣的腓总神经麻痹患者,给出了电生理检查、影像学评估、体格检查及手术治疗的结果。观察到其临床表现和预后差异很大。术前和术后的肌电图及神经传导研究有助于评估。需要提高对该疾病的认识,以避免在原本可治疗的情况下造成永久性损伤。