A1 Refereed original research article in a scientific journal
Traumatic Rupture and Herniation of the Peroneus Tertius Muscle Leading to Compartment Syndrome and Entrapment of the Superficial Peroneal Nerve: A Case Report
Authors: Suominen Eetu N., Sandelin Henrik, Puhakka Jani, Repo Jussi, Ovaska Mikko
Publisher: THIEME MEDICAL PUBL INC
Publication year: 2021
Journal: The Surgery Journal
Journal name in source: SURGERY JOURNAL
Journal acronym: SURG J-NY
Volume: 7
Issue: 3
First page : E154
Last page: E157
Number of pages: 4
ISSN: 2378-5128
eISSN: 2378-5136
DOI: https://doi.org/10.1055/s-0041-1731423
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/66599974
We present a patient with compartment syndrome and entrapment of the superficial peroneal nerve due to a direct hit to the lateral part of the right lower extremity. The diagnosis of evolving compartment syndrome was made without delay and the patient was quickly taken to the operating theater. Intraoperatively, the entrapment of the superficial peroneal nerve caused by rupture and herniation of the peroneus tertius muscle was surprisingly observed at the site, where the nerve pierces the anterior compartment. The nerve was successfully released in conjunction with fasciotomies of the anterior and lateral compartments. Meticulous diagnosis of compartment syndrome is critical to prevent ischemic injury to muscles and nerves. Recognition of anatomy and anatomical variations is important to prevent iatrogenic injury in unusual circumstances.
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