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Superficial Peroneal Nerve Incarceration in the Fibular Fracture Site of a Pronation External Rotation Type Ankle Fracture.

Ellanti P, Mohamed KM, O'Shea K - Open Orthop J (2015)

Bottom Line: Neurovascular injuries are uncommon but can be a source of significant morbidity and associated poor outcome.The superficial peroneal nerve (SPN) in the lateral approach and the sural nerve in the posterolateral approach are at risk of injury.We report an unexpected finding of a superficial peroneal nerve incarcerated in the fibular fracture site of pronation external rotation type/ Weber-C ankle fracture.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma Orthopaedics, St. Vincents University Hospital, Elm Park, Dublin-4, Ireland.

ABSTRACT
Ankle fractures are common representing up to 10% of all fractures with an incidence that is rising. Both conservative treatment and operative management of ankle fractures can lead to excellent outcomes. Neurovascular injuries are uncommon but can be a source of significant morbidity and associated poor outcome. The superficial peroneal nerve (SPN) in the lateral approach and the sural nerve in the posterolateral approach are at risk of injury. We report an unexpected finding of a superficial peroneal nerve incarcerated in the fibular fracture site of pronation external rotation type/ Weber-C ankle fracture. To the best of our knowledge we believe this to be the first English language report of an incarcerated SPN at a fibular ankle fracture site.

No MeSH data available.


Related in: MedlinePlus

Anteroposterior and lateral radiographs of the right ankle demonstrating a pronation external rotation/Weber-C type ankle fracture.
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Figure 1: Anteroposterior and lateral radiographs of the right ankle demonstrating a pronation external rotation/Weber-C type ankle fracture.

Mentions: A 34-year-old man presented to the Emergency Department (ED) with pain and deformity to his left ankle subsequent to a fall playing soccer. This was an isolated closed injury. There were no neurovascular deficits on examination. Plain film radiographs revealed a pronation external rotation/Weber-C type ankle fracture (Fig. 1).


Superficial Peroneal Nerve Incarceration in the Fibular Fracture Site of a Pronation External Rotation Type Ankle Fracture.

Ellanti P, Mohamed KM, O'Shea K - Open Orthop J (2015)

Anteroposterior and lateral radiographs of the right ankle demonstrating a pronation external rotation/Weber-C type ankle fracture.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493632&req=5

Figure 1: Anteroposterior and lateral radiographs of the right ankle demonstrating a pronation external rotation/Weber-C type ankle fracture.
Mentions: A 34-year-old man presented to the Emergency Department (ED) with pain and deformity to his left ankle subsequent to a fall playing soccer. This was an isolated closed injury. There were no neurovascular deficits on examination. Plain film radiographs revealed a pronation external rotation/Weber-C type ankle fracture (Fig. 1).

Bottom Line: Neurovascular injuries are uncommon but can be a source of significant morbidity and associated poor outcome.The superficial peroneal nerve (SPN) in the lateral approach and the sural nerve in the posterolateral approach are at risk of injury.We report an unexpected finding of a superficial peroneal nerve incarcerated in the fibular fracture site of pronation external rotation type/ Weber-C ankle fracture.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma Orthopaedics, St. Vincents University Hospital, Elm Park, Dublin-4, Ireland.

ABSTRACT
Ankle fractures are common representing up to 10% of all fractures with an incidence that is rising. Both conservative treatment and operative management of ankle fractures can lead to excellent outcomes. Neurovascular injuries are uncommon but can be a source of significant morbidity and associated poor outcome. The superficial peroneal nerve (SPN) in the lateral approach and the sural nerve in the posterolateral approach are at risk of injury. We report an unexpected finding of a superficial peroneal nerve incarcerated in the fibular fracture site of pronation external rotation type/ Weber-C ankle fracture. To the best of our knowledge we believe this to be the first English language report of an incarcerated SPN at a fibular ankle fracture site.

No MeSH data available.


Related in: MedlinePlus