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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2010

01-09-2010 | Orthopaedic Surgery

A case of extension loss of great toe due to peroneal nerve compression by an osteochondroma of the proximal fibula

Authors: Jae Ho Yoo, Kyoung Dae Min, Cheong Kwan Kim, Jang Gyu Cha

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2010

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Abstract

The authors present a case of extension loss of great toe caused by entrapment neuropathy of a peroneal nerve due to an osteochondroma of the proximal fibula. Plain radiographs revealed no bony abnormality around the foot or ankle, but a sessile exophytic bony growth at the proximal fibula. A positive Tinel sign in this area led us to a suspicion of compressive neuropathy of the peroneal nerve, and a subsequent electrophysiologic study confirmed the entrapment neuropathy. The peroneal nerve was decompressed by excisional biopsy. At 3 months postoperatively, normal full extension of the great toe was completely restored. The current case deserves attention in that the only clinical manifestation of peroneal nerve entrapment neuropathy by the osteochondroma at the fibular neck was extension loss of great toe.
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Metadata
Title
A case of extension loss of great toe due to peroneal nerve compression by an osteochondroma of the proximal fibula
Authors
Jae Ho Yoo
Kyoung Dae Min
Cheong Kwan Kim
Jang Gyu Cha
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-009-0944-3

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