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Occupational Compression of the Common Peroneal Nerve at the Neck of the Fibula
Author(s) -
Sandhu Hardas Singh,
Sandhey B. S.
Publication year - 1976
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1976.tb03223.x
Subject(s) - medicine , peroneus longus , fibula , common peroneal nerve , compression (physics) , surgery , arch , anatomy , sitting , tendon , tibia , materials science , civil engineering , pathology , engineering , composite material
Seven cases of common peroneal nerve compression were seen among farm workers. The symptoms followed working in a sitting position with forward advancement, a position commonly adopted in India for harvesting a crop and hoeing. Motor and sensory impairment was seen in the distribution of the common peroneal nerve, more marked in the distribution of the deep peroneal branch. Motor conduction time, estimated in two cases, was delayed. At exploration, the cause of the compression was found to be a tendinous arch extending along the posterior border of the peroneus longus, and curving backwards and upwards along the lateral border of the soleus. Excision of this arch, with elimination of the origin of the upper part of the peroneus longus, led to disappearance of the neurological deficits.