• Felix Aigner, D Wiedemann, S Longato, H Fritsch, M Stichelberger, and Hildegunde Piza-Katzer.
• Univ.-Klinik für Visceral-, Transplantations- und Thoraxchirurgie, Medizinische, Universität Innsbruck, Osterreich.
• Handchir Mikrochir Plast Chir. 2009 Aug 1; 41 (4): 238-43.

BackgroundPosttraumatic or iatrogen compression syndromes of the common fibular nerve (CFN) are frequent. Based on previous anatomical investigations the aim of this study was to analyse the course of the CFN along the proximal portion of the leg with respect to its relationship to the anterior intermuscular septum (AIS). Further sites of constriction or fibrous fixation should be defined.Material And MethodsAnatomical dissection of 111 cadaveric leg specimens was performed. Twenty additional legs were used for histological examination of the respective region within the AIS of the leg. By means of medical records of three patients our current treatment strategy is demonstrated.ResultsA tight fixation of the most proximal motor branch of the deep fibular nerve (DFN) within the AIS at its entering point to the anterior compartment could be demonstrated.ConclusionWe conclude, that selective decompression not only of the CFN, but of the DFN branches which are fixed in the AIS along their course through the proximal portion of the leg, is mandatory during compression syndromes of the CFN.Georg Thieme Verlag KG Stuttgart * New York.

23 keywords...

hide…