Entrapment Neuropathy of the Sural Nerve

Pringle, Robert M.; Protheroe, K; Mukherjee, Sadhan Kumar

doi:10.1302/0301-620x.56b3.465

Cited by 67 publications

(21 citation statements)

References 4 publications

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“…Trauma is the most frequently cited cause of sural neuropathy in the literature and neuropathies secondary to ankle fracture, 10,16,24 trauma, 4,7,18,20,21,24 and external compression at the ankle have been reported. 2,5,11,19,22,24 Structural lesions secondary to Baker's cyst 15 and intraneural ganglions 1,17 have also been reported. Sural neuropathy is also an uncommon complication of ankle surgery, and cases similar to our vein-stripping neuropathy 14,24,26 and neuropathy following sural harvesting for nerve graft 25 have been reported.…”

Section: Discussionsupporting

confidence: 73%

Sural neuropathy: Etiologies and predisposing factors

2006

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Isolated sural neuropathy is an uncommon diagnosis. We identified 36 patients with isolated sural neuropathy. Sixteen had various forms of ankle trauma, in three of whom the associated sural neuropathies developed following medical intervention. Three patients developed sural neuropathy associated with vasculitis, and there were single patients with schwannoma and ganglionic cyst. In patients without a history of trauma, structural causes, such as schwannoma or ganglionic cysts and vasculitis, should be considered and managed as appropriate.

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Section: Discussionsupporting

confidence: 73%

Sural neuropathy: Etiologies and predisposing factors

2006

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“…In addition, its sufficient length, several large fascicles, and the negligible morbidity of the donor site also contribute to its usability (Kim and Kim, 1991;Mahakkanukrauh and Chomsung, 2002;Erovic and Lercher, 2015). Likewise, nerve entrapment occasionally occurs at the site (Pringle et al, 1974). Moreover, the sural nerve is vulnerable to damage following fracture of related bones (Bae, 2013) or surgical procedures such as incision, retraction, and suture during reconstruction of the Achilles tendon (Citak et al, 2007;Blackmon et al, 2013;Lee and Park, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the sural nerve is vulnerable to damage following fracture of related bones (Bae, 2013) or surgical procedures such as incision, retraction, and suture during reconstruction of the Achilles tendon (Citak et al, 2007;Blackmon et al, 2013;Lee and Park, 2014). Likewise, nerve entrapment occasionally occurs at the site (Pringle et al, 1974). Thus, it is necessary to understand the formation and distribution of the sural nerve, for better clinical performance such as the operation design of related areas (Aktan Ikiz et al, 2005) and location of correct test points (Kim et al, 2003;Ko et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Variations in sural nerve formation pattern and distribution on the dorsum of the foot

2017

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The sural nerve, a cutaneous nerve, is clinically important because it is frequently for nerve conduction testing, biopsy, and harvesting for nerve grafts. This nerve exhibits a wide variety of variation in formation, distribution on the dorsum of the foot, and so on, depending on the population observed. In this study, we examined the variation in the sural nerve in 110 Korean cadavers. Of these cadavers, 86.1% of the sural nerves corresponded to type A, where tibial and peroneal components were united to form the sural nerve. These two components most frequently united (65.9%) in the third quarter of the calf, and when the union position was expressed as a ratio to calf length, it corresponded to 0.408 in men and 0.346 in women, with a statistically significant difference. Due to this sexual dimorphism in addition to shorter calf length in females, the length of the sural nerve was shorter in females (male average length: 14.5 ± 4.8 cm; female average length: 11.4 ± 2.9 cm). In terms of distribution of the lateral dorsal cutaneous nerve, the distal continuation of the sural nerve on the dorsum of the foot, it showed variation in association with the superficial peroneal nerve. The innervation of the sural nerve extended most frequently up to the lateral two and a half toes, solely or in conjunction with the superficial peroneal nerve. Obtaining further information regarding sural nerve variation will be useful for various clinical procedures and interpretation of sural nerve conduction results. Clin. Anat. 30:525-532, 2017. © 2017 Wiley Periodicals, Inc.

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“…Sural nerve entrapment has been associated with ganglia or posttraumatic scarring [3]. Mechanical injury of the sural nerve caused by ex- (2) The hypaesthetic and pain area long the lateral border of the foot extending into the little toe ternal pressure has been attributed to ill-®tting boots, direct blows or other agents (eg, chain) [4].…”

Section: Discussionmentioning

confidence: 99%