<p class="abstract">A 7-year-old patient presented with acute onset spontaneous common peroneal nerve (CPN) palsy due to osteochondroma of fibular head. Osteochondroma was excised resulting in complete neurological recovery. As per our knowledge, this is the first case of an acute onset CPN palsy in a child due to osteochondroma. 14 studies reporting patients with CPN palsy due to osteochondroma were analyzed. Of 24 patients reported with this condition in literature, 19 (79%) recovered completely from CPN palsy. Incomplete recovery after surgery was associated with a longer mean duration between symptoms and surgery (26 months versus 5 months for complete recovery).  </p>