Peroneal nerve injury: anesthesia is not always to blame

Abstract

We introduce a case report of a woman that was operated of foot surgery under locoregional anesthesia with an echo-guided peripheral sciatic-popliteal nerve block. As post operatory complication a peroneal nerve injury was noticed. We revised differential diagnosis of peripheral nerve block and therapeutic strategy we should take. In our case the finding was a high degree axonotmesis secondary to extrinsic compressure due to pneumatic tourniquet placed in the ankle used during surgery. There was no relationship with the anesthetic technique.

Keywords: Anestesia ecoguiada; Bloqueo nervioso periférico; Complicaciones; Complications; Echo guided anesthesia; Lesión nervio peroneo; Manguito de isquemia; Peripheral nerve block; Peroneal nerve injury; Pneumatic tourniquet.