Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: Case report

Benjamin T. Himes, Thomas J. Wilson, Andres A. Maldonado, Naveen S. Murthy, Robert J. Spinner

Research output: Contribution to journalArticle

Abstract

The authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.

Original languageEnglish (US)
Pages (from-to)1589-1592
Number of pages4
JournalJournal of neurosurgery
Volume128
Issue number5
DOIs
StatePublished - May 2018

Keywords

  • Peripheral nerve
  • Peroneal nerve compression
  • Peroneal neuropathy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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