Summary
Failed back surgery syndrome (FBSS) occurs in 30% of operated patients and represents a heavy problem both regarding disability and costs in first world countries. Among FBSS we found the possibility of a double crush syndrome: a disco-radicular conflict and a peripheral nerve entrapment. The latter, disguised by root compression symptoms, becomes evident only after spinal surgery. Clinical features are the same as for the restless leg syndrome. We found peroneal nerve crural branches entrapped where they crossed the fascia to reach the subcutaneous layer. Venous stasis during immobility caused presentation of symptoms. Neurolysis was performed, all cases were successful. Most of the patients were found to have myofascial pain syndrome (MPS). MPS patients “feel” entrapments more frequently than others not because of their specific pain tolerance but because they are more prone to develop them.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Crotti FM (2002) Sindrome da intrappolamento dello sciatico popliteo esterno o peroneo comune. In: Papo I, Villani R et al (eds) Neurochirurgia Clinica. CG Edizioni Medico Scientifiche, Torino, pp 656–657
MacKinnon SE, Dellon AL (1988) Surgery of the peripheral nerve. Thieme Medical Publisher Inc, New York, pp 360–368
Sypert G, Arpin-Sypert EJ (2004) Evaluation and management of the failed back syndrome. In: Youmans neurological surgery. Elsevier Saunders, New York, pp 4327–4344
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer-Verlag
About this paper
Cite this paper
Crotti, F.M., Carai, A., Carai, M., Sgaramella, E., Sias, W. (2005). Entrapment of crural branches of the common peroneal nerve. In: Alexandre, A., Bricolo, A., Millesi, H. (eds) Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery. Acta Neurochirurgica, vol 97. Springer, Vienna. https://doi.org/10.1007/3-211-27458-8_15
Download citation
DOI: https://doi.org/10.1007/3-211-27458-8_15
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-23368-9
Online ISBN: 978-3-211-27458-3
eBook Packages: MedicineMedicine (R0)