1. Rare case of midfoot pain: Medial dorsal cutaneous nerve (superficial peroneal nerve) entrapment after recurrent irritation
- Author
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Dr. med. Benedikt Ritter, Dr. med. univ. Viola Stoegner, PD. Dr. med. Nicco Krezdorn, and Univ.-Prof. Dr. med. Peter M. Vogt
- Subjects
VIII ,Surgery ,RD1-811 - Abstract
Nerve compression syndrome is defined as chronic pressure damage to a peripheral nerve, with the superficial peroneal nerve (SPN) rarely affected.A 19-year-old female patient presented to our surgical outpatient clinic reporting persistent dysesthesia with projection to the dorsum of the left foot for one year. She had already undergone extensive orthopedic and radiologic evaluation for bone related injuries. In the course of the patient interview, however, she recalled repeated bruises of the dorsal ankle region, caused by kicks/steps of an opponent player during her soccer training. Based on the clinical and radiological findings, a nerve compression syndrome of the ramus cutaneus dorsalis medialis of the superficial peroneal nerve was suspected. The patient gave consent to exploration and neurolysis as well as re-embedding and covering of the nerve with a s-shaped flap.The diagnosis of medial dorsal cutaneous nerve entrapment requires a thorough medical history and a detailed clinical examination, including the Tinel's sign for exact localization of the entrapment site. Awareness of these syndromes among physicians is crucial in order to avoid misdiagnosis and consequences. Ultimately, surgical decompression is the causal treatment of the entrapment and leads to an improvement in quality of life and neuropathic pain.
- Published
- 2023
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