2005
DOI: 10.1302/0301-620x.87b9.16122
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Displacement of the common peroneal nerve in posterolateral corner injuries of the knee

Abstract: We reviewed the relationship between the pattern of damage to the posterolateral corner of the knee and the position of the common peroneal nerve in 54 consecutive patients with posterolateral corner disruption requiring surgery. We found that 16 of the 18 patients with biceps avulsions or avulsion-fracture of the fibular head had a displaced common peroneal nerve. The nerve was pulled anteriorly with the biceps tendon. None of the 34 proximal injuries resulted in an abnormal nerve position. Whenever bone or s… Show more

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Cited by 48 publications
(39 citation statements)
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“…In a study of six cases having similar injuries, only one had complete common peroneal nerve transaction 12 . In another study of 54 cases of posterolateral corner injuries, only 9 patients had common peroneal nerve palsy of which 7 cases were associated with avulsion of the fibular head [13] ; however, there is no mentioning of the common peroneal nerve laceration. In our study, the patient; 1, 3, 4 were surgical intervened due to the presence of complete avulsion of fibular head, grade II/III; varus stress test, and/or peroneal nerve injury.…”
Section: Discussionmentioning
confidence: 95%
“…In a study of six cases having similar injuries, only one had complete common peroneal nerve transaction 12 . In another study of 54 cases of posterolateral corner injuries, only 9 patients had common peroneal nerve palsy of which 7 cases were associated with avulsion of the fibular head [13] ; however, there is no mentioning of the common peroneal nerve laceration. In our study, the patient; 1, 3, 4 were surgical intervened due to the presence of complete avulsion of fibular head, grade II/III; varus stress test, and/or peroneal nerve injury.…”
Section: Discussionmentioning
confidence: 95%
“…This descriptive classification is based on the position of the displaced tibia in relation to the femur [21]. Using this terminology, Kennedy encountered five main categories of dislocation: anterior, posterior, lateral, medial, and rotatory [20].…”
Section: Classification Of Traumatic Knee Dislocationsmentioning
confidence: 99%
“…With this in mind, clinical evidence of common peroneal nerve palsy in the setting of a traumatic knee dislocation necessitates a clinical and radiologic assessment for a posterolateral corner injury or fibular head avulsion fracture (arcuate sign) [40,41] because 44% of patients with such an injury will have peroneal nerve damage [21,32].…”
Section: Neurologic Assessmentmentioning
confidence: 99%
“…Among all dislocations, the posterolateral mechanism is most likely to cause severe and permanent peroneal nerve injury. 3,[22][23][24] Energy level of the injury is extremely important and gives information concerning potential soft-tissue injury, risk of arterial injury, and will inform the overall surgical approach. High-velocity mechanisms such as motor vehicle accidents, pedestrians struck by vehicles, motorcycle accidents, and falls from a height, are more prone to have associated neurologic injuries.…”
Section: Injury Mechanism and Pathoanatomymentioning
confidence: 99%