Kommon Peroneal Sinir Tuzak Nöropati Cerrahi Tedavisinin Klinik ve Elektrofizyolojik Sonuçları

Amaç: Kommon peroneal sinir tuzak nöropatisi nedeniyle ameliyat edilen hastalarımızın operasyon öncesi ve sonrası klinik ve elektrofizyolojik bulgularını değerlendirmek için yapıldı. Gereç ve Yöntem: Bu retrospektif çalışmaya, kliniğimizde 2011-2016 yılları arasında peroneal sinir dekompresyonu yapılan 11 erkek hastanın ameliyat öncesi ve sonrası klinik ve elektro fizyolojik bulguları dahil edildi. Bulgular: Ameliyat edilen hastaların biri hariç hepsinde elektro fizyolojik ve klinik olarak düzelme tespit edildi. Sonuç: Peroneal sinir tuzaklanması olan hastalarda cerrahi dekompresyon medikal tedaviden fayda görmeyen hastalarda uygulanan bir yöntemdir. Elektro fizyolojik yöntemler tanı konmasında ve tedavinin izlenmesinde başarı ile kullanılmaktadır.

Clinical and Electrophysiological Outcomes of Surgical Treatment of Common Peroneal Nerve Entrapment Neuropathy

Objective: This study was conducted in order to evaluate both pre- and postoperative clinical and electrophysiological outcomes of the patients which were operated due to common peroneal entrapment neuropathy. Material and Method: Pre-and postoperative clinical and electrophysiological outcomes of 11 male patients which underwent for peroneal nerve decompression surgery were included in this retrospective study between 2011 and 2016. Results: Electrophysiological and clinical improvements were determined in all of the operated patients except one patient. Conclusion: Surgical decompression is a method which is performed in patients with peroneal nerve entrapment which did not benefit from medical treatment. Electrophysiological methods have been successfully used in diagnosing and follow-up of the treatment.

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Marquardt G, Angles BSM, Leheta FD, Seifert V. Median nevre compression caused by a venous aneurysm. J Neurosurg 2001; 94: 624-6.
Akgöl G, Çelikbağ B. Uzun süre çömelme sonucu oluşan tek taraflı düşük ayak olgusu. Fırat Tıp Dergisi 2012; 17: 66-8.
3. Thoma A, Levis C. Compression neuropathies of the lower extremity. Clin Plast Surg 2003; 30: 189-201.
Stewart JD. Foot drop: where, why and what to do? Pract Neurol 2008; 8: 158-69.
Kıbıcı K. Kommon peroneal sinir tuzak nöropatisinin cerrahi tedavisi ve sonuçları: Klinik çalışma. Türk Nöroşirürji Dergisi 2010; 20: 15-22.
Watemberg N, Amsel S, Sadeh M, Lerman-Sagie T. Common peroneal neuropathy due to surfing. J Child Neurol 2000; 15: 420-1.
Brown RE, Storm BW. ‘Congenital’ common peroneal nerve compression. Ann Plast Surg 1994; 33: 326-9.
Lippin Y, Shvoron A, Yaffe B, Zwas ST, Tsur H. Postburn peroneal nerve palsy: a report of two consecutive cases. Burns 1993; 19: 246-8.
Younger DS. Entrapment neuropathies. Prim Care 2004; 31: 53-6.
Oppenheimer H. Textbook of Nervous Diseases. 1. Baskı, Edinburgh: Otto Schulze & Co, 1911.
Oh SJ. Clinical Electromyography: Nevre Conduction Studies. 2. baskı. Philadelphia: Lippicott Williams & Wilkins, 2003: 214- 5.
Preston DC, Shapiro BE. Electromyography and neuromuscular disorders. 1.baskı. Boston: Butterworth-Heinemann, 1998: 307-36
Stewart JD. Compression and entrapment neuropathies. Dyck PJ, Thomas PK. Peripheral Neuropathy, 3.baskı. Philadelphia: WB Saunders Company, 1993: 961-79.
Thoma A, Levis C. Compression neuropathies of the lower extremity. Clin Plast Surg 2003; 30: 189-201.
Yılmaz E, Karakurt L, Serin E, Güzel H. Peroneal nerve palsy due to rare reasons: a report of three cases. Acta Orthop Traumatol Turc 2004; 38: 75-8.
Burnett MG, Zager EL. Pathophysiology of peripheral nerve injury: a brief review. Neurosurgery Focus 2004; 16: 5.
Albornoz P, Delgado P, Forriol F, Maffulli N. Non-surgical therapies for peripheral nerve injury. British Medical Bulletin 2011; 100: 73–100.
Griffin MF, Malahias M, Hindocha S, Khan WS. Peripheral nerve ınjury: principles for repair and regeneration. The Open Orthopaedics Journal 2014; 8: 199-203.
Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg 1998; 80: 47-53.
Garozzo D, Ferraresi S, Buffatti P. Common peroneal nevre injuries in knee dislocations: results with one-stage nerve repair and tibialis posterior tendon transfer. J Orthopaed Traumatol 2002; 2: 135-7.
Tomaino M, Day C, Papageorgiou C, Harner C, Fu FH. Peroneal nerve palsy following knee dislocation: pathoanatomy and implications for treatment. Knee Surg Sports Traumatol Arthrosc 2000; 8: 163-5.