학술논문
Evaluation of Surgical Results of Peroneal Nerve Injury Due to Traumatic and Non-Traumatic Causes/Travmatik ve Non-Travmatik Nedenlerle Olusan Peroneal Sinir Hasarinin Cerrahi Sonuclarinin Degerlendirilmesi
Research Article/Arastirma
Research Article/Arastirma
Document Type
Report
Author
Source
Istanbul Kanuni Sultan Suleyman Medical Journal (Istanbul Kanuni Sultan Suleyman Tıp Dergisi). May 2020, Vol. 12 Issue 2, p125, 5 p.
Subject
Language
English
ISSN
2148-273X
Abstract
GIRIS Peroneal sinir (PS) noropatisi (PSN), alt ekstremitenin sik gorulen periferik sinir lezyonlarindan biridir. Akut ve progresif baslangicli dusuk ayak klinigine neden olan kompresif noropatidir (1,2). PS peroneus longus'un derinliklerine [...]
Objective: Peroneal nerve injury is one of the common peripheral nerve lesions of the lower extremity. Peroneal nerve may be damaged due to trauma, neurogenic cyst, intranural ganglion, habitual leg crossing, heavy lifting and surgical procedures. In this study, we aimed to evaluate the surgical results of traumatic and non-traumatic peroneal nerve injury. Method: Twenty-three consecutive patients admitted to our clinic between 2014-2018 for peroneal nerve injury at knee level were evaluated retrospectively. Ankle dorsiflexion muscle strength levels of the patients were evaluated preoperatively and 6 months after the surgery. Results: Of the 23 patients [6 (23%) female and 17 (77%) male] with peroneal nerve injury, 10 were evaluated in the traumatic group and 13 in the non-traumatic group. Preoperative and postoperative ABDF muscle strength improvement was statistically significant in both groups. In the traumatic patient group, median preoperative ABDF muscle strength was 0/5 (min.0/5-max.3/5) whereas the median postoperative postoperative 3,5/5 (min.0/5-max.5/5). (p=0.017) The median preoperative ABDF muscle strength was 2/5 (min.0/5-max.3/5) in the non-traumatic patient group, whereas it was 5/5 (min.4/5-max.5/5) (p=0.001) postoperatively. Conclusion: The results of our study show that peroneal nerve decompression is a valid and effective method. Although we achieved better results in the non-traumatic patient group, motor function improved significantly after decompression in both patient populations. Keywords: decompression, outcome, peroneal nerve injury Amac: Peroneal sinir hasari alt ekstremitenin sik gorulen periferik sinir lezyonlarindan biridir. Peroneal sinir travma, norojenik kist, intranoral gangliyon, diz uzerine cokme, agir kaldirma, cerrahi islem gibi nedenlerle hasara ugrayabilir. Yaptigimiz bu calismada, travmatik ve non-travmatik nedenlerle olusan peroneal sinir hasarinin cerrahi sonuclarinin degerlendirilmesi amaclanmistir. Yontem: Diz seviyesinde peroneal sinir hasari nedeniyle 2014-2018 yillari arasinda klinigimize basvuran ardisik 23 hasta retrosepektif olarak degerlendirildi. Hastalarin ameliyat oncesi ve ameliyat sonrasi 6. ay kontrol takiplerindeki ayak bilegi dorsifleksyon kas gucu dereceleri degerlendirildi. Bulgular: Peroneal sinir hasarli 23 [6 (%23) kadin, 17 (%77) erkek) hastanin 10'unu travmatik hasta grubuna ve 13 tanesi non travmatik hasta grubunda degerlendirildi. Her iki hasta grubunda da ameliyat oncesi ve ameliyat sonrasi ABDF kas gucu iyilesmesi acisindan istatiksel olarak cerrahinin etkinligi gorulmustur. Travmatik hasta grubunda ameliyat oncesi ABDF median kas gucu 0/5 (min.0/5-max.3/5) iken ameliyat sonrasi 3,5/5 (min.0/5max.5/5) (p=0.017), non travmatik hasta grubunda ameliyat oncesi ABDF median kas gucu 2/5 (min.0/5-max.3/5) iken ameliyat sonrasi 5/5 (min.4/5-max.5/5) (p=0.001). Sonuc: Calismamizin sonuclari, peroneal sinir dekompresyonunun gecerli ve etkili bir yontem oldugunu gostermektedir. Non travmatik hasta grubunda daha iyi sonuclar elde etmemize ragmen, her iki hasta populasyonununda da dekompresyon sonrasi motor fonksiyonlarinda anlamli derecede duzelme goruldu. Anahtar kelimeler: dekompresyon, sonlanim, peroneal sinir hasari
Objective: Peroneal nerve injury is one of the common peripheral nerve lesions of the lower extremity. Peroneal nerve may be damaged due to trauma, neurogenic cyst, intranural ganglion, habitual leg crossing, heavy lifting and surgical procedures. In this study, we aimed to evaluate the surgical results of traumatic and non-traumatic peroneal nerve injury. Method: Twenty-three consecutive patients admitted to our clinic between 2014-2018 for peroneal nerve injury at knee level were evaluated retrospectively. Ankle dorsiflexion muscle strength levels of the patients were evaluated preoperatively and 6 months after the surgery. Results: Of the 23 patients [6 (23%) female and 17 (77%) male] with peroneal nerve injury, 10 were evaluated in the traumatic group and 13 in the non-traumatic group. Preoperative and postoperative ABDF muscle strength improvement was statistically significant in both groups. In the traumatic patient group, median preoperative ABDF muscle strength was 0/5 (min.0/5-max.3/5) whereas the median postoperative postoperative 3,5/5 (min.0/5-max.5/5). (p=0.017) The median preoperative ABDF muscle strength was 2/5 (min.0/5-max.3/5) in the non-traumatic patient group, whereas it was 5/5 (min.4/5-max.5/5) (p=0.001) postoperatively. Conclusion: The results of our study show that peroneal nerve decompression is a valid and effective method. Although we achieved better results in the non-traumatic patient group, motor function improved significantly after decompression in both patient populations. Keywords: decompression, outcome, peroneal nerve injury Amac: Peroneal sinir hasari alt ekstremitenin sik gorulen periferik sinir lezyonlarindan biridir. Peroneal sinir travma, norojenik kist, intranoral gangliyon, diz uzerine cokme, agir kaldirma, cerrahi islem gibi nedenlerle hasara ugrayabilir. Yaptigimiz bu calismada, travmatik ve non-travmatik nedenlerle olusan peroneal sinir hasarinin cerrahi sonuclarinin degerlendirilmesi amaclanmistir. Yontem: Diz seviyesinde peroneal sinir hasari nedeniyle 2014-2018 yillari arasinda klinigimize basvuran ardisik 23 hasta retrosepektif olarak degerlendirildi. Hastalarin ameliyat oncesi ve ameliyat sonrasi 6. ay kontrol takiplerindeki ayak bilegi dorsifleksyon kas gucu dereceleri degerlendirildi. Bulgular: Peroneal sinir hasarli 23 [6 (%23) kadin, 17 (%77) erkek) hastanin 10'unu travmatik hasta grubuna ve 13 tanesi non travmatik hasta grubunda degerlendirildi. Her iki hasta grubunda da ameliyat oncesi ve ameliyat sonrasi ABDF kas gucu iyilesmesi acisindan istatiksel olarak cerrahinin etkinligi gorulmustur. Travmatik hasta grubunda ameliyat oncesi ABDF median kas gucu 0/5 (min.0/5-max.3/5) iken ameliyat sonrasi 3,5/5 (min.0/5max.5/5) (p=0.017), non travmatik hasta grubunda ameliyat oncesi ABDF median kas gucu 2/5 (min.0/5-max.3/5) iken ameliyat sonrasi 5/5 (min.4/5-max.5/5) (p=0.001). Sonuc: Calismamizin sonuclari, peroneal sinir dekompresyonunun gecerli ve etkili bir yontem oldugunu gostermektedir. Non travmatik hasta grubunda daha iyi sonuclar elde etmemize ragmen, her iki hasta populasyonununda da dekompresyon sonrasi motor fonksiyonlarinda anlamli derecede duzelme goruldu. Anahtar kelimeler: dekompresyon, sonlanim, peroneal sinir hasari