An Unusual Cause of Paralysis of the Peroneal Nerve: A Report of 3 Cases (Retracted article. See vol. 32, pg. 748, 2012)

作者：Al Mufargi Yaqoub Sulaiman^*; Mouch Charles Adam; Ziebarth Kai; Joeris Alexander; Slongo Theddy

来源：Journal of Pediatric Orthopaedics, 2011, 31(5): E50-E52.

DOI：10.1097/BPO.0b013e31821f50cb

• peroneal nerve
• intraneural ganglion
• proximal tibiofibular joint
• articular nerve branch

We present 3 cases of a 12-year-old boy, an 8-year-old girl, and a 9-year-old boy with progressive paresis of the peroneal nerve. Peroneal intraneural ganglia are a rare cause of paralysis of the lower limb in children; more often these symptoms occur because of exostosis. Ultrasound imaging in both patients showed a cystic mass near the fibular neck. Magnetic resonance imaging examination revealed that the ganglion is communicating with the proximal tibiofibular joint. Surgical exploration in these patients confirmed a cystic formation involving the common peroneal nerve. The ganglion originates from the articular nerve branch to the proximal tibiofibular joint. Total recovery of nerve function was seen 2 years later for the first patient, whereas the other 2 showed immediate postoperative improvement of peroneal nerve function and complete recovery within 6 to 8 weeks. On the other hand, patients with exostosis showed varying outcomes. In children with symptoms suspicious of nerve compression, fast diagnosis and immediate treatment are necessary to ensure the best possible recovery.

• 出版日期2011-8