Outcomes of Common Peroneal Nerve Decompression.

Autor:	King JD; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Gwam CU; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Cignetti NE; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Dhaliwal KK; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Gordon JB; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Ma X; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA., Li Z; Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 03; Vol. 16 (9), pp. e68526. Date of Electronic Publication: 2024 Sep 03 (Print Publication: 2024).
DOI:	10.7759/cureus.68526
Abstrakt:	Purpose: Common peroneal nerve (CPN) neuropathy is the most common lower extremity mononeuropathy. When delayed or no recovery from CPN neuropathy is suspected, surgical CPN decompression (CPND) is considered to relieve symptoms. This study aimed to evaluate patient outcomes post-CPND performed by a single surgeon at a tertiary medical center. Methods: Patient outcomes after CPND performed by a single surgeon were reviewed. Motor, sensation, and pain scores post-CPND were assessed in 47 of the 46 patients. Patient demographics, including age, concomitant morbidities, time from injury to surgery, and body mass index (BMI), were also analyzed for correlations with outcomes after CPND by logistic regression. Results: 29/34 patients with impaired motor function improved by at least one motor grade, 19/42 with altered sensation reported restored normal sensation, and 31/37 reported improved pain after CPND. No correlation of patient demographic factors with motor or pain improvement after CPND was observed. However, a BMI greater than 29.15 and a time between injury and surgery exceeding 506 days were associated with lower odds of reporting restored sensation. Conclusions: Operative decompression of CPN neuropathy improves objective motor scores and subjective sensation and pain scores. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Advocate Health-Wake Forest University School of Medicine Institutional Review Board issued approval IRB00051286. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, King et al.)
Databáze:	MEDLINE
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