Intraneural Ganglion as the Cause of Compression-Ischemic Lesion of Peroneal Nerve in Children
- Authors: Merkulov V.N1, Imyarov S.D1, Dorokhin A.I1
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Affiliations:
- Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia
- Issue: Vol 21, No 3 (2014)
- Pages: 76-80
- Section: Articles
- Submitted: 20.10.2020
- Published: 15.09.2014
- URL: https://journals.eco-vector.com/0869-8678/article/view/47627
- DOI: https://doi.org/10.17816/vto20140376-80
- ID: 47627
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Full Text
Abstract
Two clinical cases of peroneal nerve lesion (patients 13 and 16 years) resulted from intraneural ganglion are presented. It is shown that only radical surgical intervention including resection of tibiofibular junction, removal of communicating canal and nerve decompression using cyst dissection (Spinner technique) could prevent ganglion relapse. In first patient completely lost peroneal nerve function was restored by musculotendinous transposition.
About the authors
V. N Merkulov
Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia
Sh. D Imyarov
Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia
Email: Imyarov.shukhrat@mail.ru
A. I Dorokhin
Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia
References
- Берснев В.П. Диагностика и хирургическое лечение повреждений нервов: Автореф. дис. … д-ра мед. наук. Л.: 1986.
- Меркулов В.Н. Посттравматические нейрогенные деформации конечностей у детей. Их профилактика при острой травме и комплексное хирургическое лечение в позднем периоде. Дис. … д-ра мед. наук. М.; 1991.
- Селезнев К.Я., Атаханов Р.А. Диагностика и микрохирургическое лечение травматических повреждений периферических нервов. В кн.: Сборник научных трудов «Микрохирургия травматических повреждений периферических нервов». Т.257. М.; 1983: 29-46.
- Худяев А.Т., Мартель И.И., Самылов В.В., Мещерягина И.А., Россик О.С. Малоинвазивные методы лечения повреждений периферических нервов. Гений ортопедии. 2012; 1: 85-8.
- Хамзаев Р.И., Берснев В.П. Оценка результатов хирургического лечения повреждений седалищного нерва. Травматология и ортопедия России. 2009; 1 (51): 96-8.
- Gosk J.R., Rutowski J.G. The lower extremity nerve injures own experience in surgical treatment. J. Neuropathol. 2005; 43: 148-52.
- Лубегина З.П. Профилактика и лечение деформаций стоп после полиомиелита. М.: Медицина; 1963: 182.
- Tehli O., Celikmez R.C., Birgili B., Solmaz I., Celik E. Pure peroneal intraneural ganglion cyst ascending along the sciatic nerve. Turk Neurosurg. 2011; 21 (2); 254-8.
- Robla-Costales J., Socolovsky M., Dubrovsky A., Astorino F., Fernández-Fernández J., Ibáñez-Plágaroy J., García-Cosamalón J. Quistes intraneurales del nervio ciático poplíteo externo en edad pediátrica: presentación de 2 casos y revisión de la literature. Neurocirugía 2011; 22: 324-31.
- Spinner R.J., Scheithauer B.W., Amrami K.K. The unifying articular (synovial) origin of intraneural ganglia: evolution-revelation-revolution. Neurosurgery. 2009; 65 (4 Suppl): A115-24.
- Spinner R.J., Hebert-Blouin M.N., Amrami K.K., Rock M.G. Extreme intraneural ganglion cyst. Neurosurgery. 2011; 114 (1): 217-22.
- Spinner R.J., Wang H. The first described joint-associated intraneural ganglion cyst. J. Neurosurg. 2011; 69 (6): 1291-8.
- Spinner R.J., Atkinson J.L.D., Scheithauer B.W. Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J. Neurosurgery. 2003; 99: 330-3.
- Spinner R.J., Hebert-Blouin M.N., Amrami K.K., Rock M.G. Peroneal and tibial intraneural ganglion cyst in the knee region: a technical note. J. Neurosurg. 2010; 67 (3): 71-8.
- Bischoff J., Kortmann K.B., Engelhadt M. Intraneural ganglion of the peroneal nerve. A case report. Z. Orthop. unfall. 2010; 148 (5): 589-93.
- Waldchmidt U., Slongo T. An unusual cause of paralysis of the peroneal nerve-a case report. J. Pediatr. Surg. 2010; 45 (1): 259-61.
- Simmons D.N., Lisle D.A., Linklater J.M. Imaging of peripheral nerve lesions in the lower limb. Top Magn. Reson. Imaging. 2010; 21 (1): 51-62.