Publication: Peroneal nerve injury associated with sports-related knee injury
Issued Date
2011-12-07
Resource Type
ISSN
10920684
Other identifier(s)
2-s2.0-82655175474
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Neurosurgical Focus. Vol.31, No.5 (2011)
Suggested Citation
Dosang Cho, Kriangsak Saetia, Sangkook Lee, David G. Kline, Daniel H. Kim Peroneal nerve injury associated with sports-related knee injury. Neurosurgical Focus. Vol.31, No.5 (2011). doi:10.3171/2011.9.FOCUS11187 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12154
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Title
Peroneal nerve injury associated with sports-related knee injury
Abstract
Object. This study analyzes 84 cases of peroneal nerve injuries associated with sports-related knee injuries and their surgical outcome and management. Methods. The authors retrospectively reviewed the cases of peroneal nerve injury associated with sports between the years 1970 and 2010. Each patient was evaluated for injury mechanism, preoperative neurological status, electrophysiological studies, lesion type, and operative technique (neurolysis and graft repair). Preoperative status of injury was evaluated by using a grading system published by the senior authors. All lesions in continuity had intraoperative nerve action potential recordings. Results. Eighty-four (approximately 18%) of 448 cases of peroneal nerve injury were found to be sports related, which included skiing (42 cases), football (23 cases), soccer (8 cases), basketball (6 cases), ice hockey (2 cases), track (2 cases) and volleyball (1 case). Of these 84 cases, 48 were identified as not having fracture/dislocation and 36 cases were identified with fracture/dislocation for surgical interventions. Good functional outcomes from graft repair of graft length < 6 cm (70%) and neurolysis (85%) in low-intensity peroneal nerve injuries associated with sports were obtained. Recovery from graft repair of graft length between 6 and 12 cm (43%) was good and measured between Grades 3 and 4. However, recovery from graft repair of graft length between 13 and 24 cm was obtained in only 25% of patients. Conclusions. Traumatic knee-level peroneal nerve injury due to sports is usually associated with stretch/contusion, which more often requires graft repair. Graft length is the factor to be considered for the prognosis of nerve repair.