Entrapment of the deep peroneal nerve and anterior tibial vessels by a spiral tibial fracture causing partial non-union: a case report
| Autor: | Kein Boon Poon, Evan Tai Long Tan, Tien Jin Tan |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty 03 medical and health sciences Entrapment 0302 clinical medicine medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Vein Fixation (histology) 030222 orthopedics business.industry Nerve Compression Syndromes Peroneal Nerve Anatomy musculoskeletal system Neurovascular bundle medicine.disease Magnetic Resonance Imaging Surgery Nerve compression syndrome Tibial Arteries Tibial Fractures medicine.anatomical_structure Fractures Ununited Anterior tibial artery Orthopedic surgery Female Complication business 030217 neurology & neurosurgery |
| Zdroj: | Skeletal Radiology. 45:551-554 |
| ISSN: | 1432-2161 0364-2348 |
| Popis: | We report a case of entrapment of the deep peroneal nerve as well as the anterior tibial artery and vein by a spiral distal tibial shaft fracture, causing partial non-union. The authors describe the utility of MRI in making the diagnosis of this post-traumatic complication, which may potentially result in a permanent neurovascular deficit and adverse functional outcome if left undetected. The importance of recognizing the distinct possibility of entrapment and injury to the deep peroneal nerve as well as the anterior tibial vessels, when managing a fracture involving the distal third of the tibial shaft is emphasized. Absence of clinical symptoms or signs of neurovascular entrapment should not deter one from performing the relevant investigations to exclude this complication, in particular when surgical fixation is being contemplated, or in the presence of a non-healing fracture. |
| Databáze: | OpenAIRE |
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