Minimally Invasive Surgical Approach for Open Common Peroneal Nerve Neurolysis in the Setting of Previous Posterior Schwannoma Removal

Benjamin Kerzner; Hasani W Swindell; Michael P Fice; Felicitas Allende; Zeeshan A Khan; Luc M Fortier; Alan T Blank; Jorge Chahla

doi:10.1016/j.eats.2021.12.027

Minimally Invasive Surgical Approach for Open Common Peroneal Nerve Neurolysis in the Setting of Previous Posterior Schwannoma Removal

Arthrosc Tech. 2022 Mar 28;11(4):e705-e710. doi: 10.1016/j.eats.2021.12.027. eCollection 2022 Apr.

Authors

Benjamin Kerzner¹, Hasani W Swindell¹, Michael P Fice¹, Felicitas Allende¹, Zeeshan A Khan¹, Luc M Fortier¹, Alan T Blank^{1

2}, Jorge Chahla^{1

2}

Affiliations

¹ Midwest Orthopaedics at Rush, Chicago, Illinois, U.S.A.
² Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Abstract

The common peroneal nerve (CPN) runs laterally around the fibular neck and enters the peroneal tunnel, where it divides into the deep, superficial, and recurrent peroneal nerves. CPN entrapment is the most common neuropathy of the lower extremity and is vulnerable at the fibular neck because of its superficial location. Schwannomas are benign, encapsulated tumors of the nerve sheath that can occur sporadically or in cases of neurocutaneous conditions, such neurofibromatosis type 2. In cases with compressive neuropathy resulting in significant or progressive motor loss, decompression and neurolysis should be attempted. We present a technical note for the treatment of CPN compressive neuropathy in the setting of a previous ipsilateral schwannoma removal with a minimally invasive surgical approach and neurolysis of the CPN at the fibular neck.