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Rare Disease Entity of Dorsolateral Foot Pain: Lateral Branch of Deep Peroneal Nerve Entrapment Syndrome

외측 심부 비골신경 포착 증후군의 증례 보고

  • Na, Yoonju (Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yeo, Seung Mi (Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Jin Ho (Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hwang, Ji Hye (Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 나윤주 (성균관대학교 의과대학 삼성서울병원 재활의학교실) ;
  • 여승미 (성균관대학교 의과대학 삼성서울병원 재활의학교실) ;
  • 박진호 (성균관대학교 의과대학 삼성서울병원 재활의학교실) ;
  • 황지혜 (성균관대학교 의과대학 삼성서울병원 재활의학교실)
  • Received : 2021.04.21
  • Accepted : 2021.09.01
  • Published : 2021.12.31

Abstract

When a patient represents pain in foot, physician can easily overlook compression neuropathy of peripheral nerve as it is uncommon. Among nerve entrapment syndrome encountered in the foot, selective compression in lateral branch of deep peroneal nerve (DPN) is rare. We report a case of a patient with pain and dysesthesia in dorsolateral foot which turned out as lateral branch of deep peroneal nerve entrapment syndrome caused by talonavicular joint effusion. We would like to share diagnostic work up flow and conservative treatment courses. This case manifests the importance of the deep peroneal nerve and its branches in clinical setting of pain and ankle instability.

Keywords

References

  1. Lam SJ. A tarsal-tunnel syndrome. Lancet 1962;2:1354-5. https://doi.org/10.1016/S0140-6736(62)91024-3
  2. Pearce BS, Brown MN, Karl HW. Deep Peroneal Nerve Entrapment. In: Peripheral Nerve Entrapments: Clinical diagnosis and management, 1st ed, Switzerland: Springer; 2016. p. 769-80.
  3. Kennedy JG, Brunner JB, Bohne WH, Hodgkins CW, Baxter DB. Clinical importance of the lateral branch of the deep peroneal nerve. Clin Orthop Relat Res 2007;459:222-8. https://doi.org/10.1097/BLO.0b013e31803c2fa2
  4. Brestas P, Protopsaltis I, Drossos C. Role of sonography in the diagnosis and treatment of a ganglion cyst compressing the lateral branch of deep peroneal nerve. J Clin Ultrasound 2017;45:108-11. https://doi.org/10.1002/jcu.22388
  5. De Grove V, Willekens I, Lenchik L, Shahabpour M, de Mey J, De Maeseneer M. Fluid distribution in ankle and midfoot joints: MR findings in asymptomatic volunteers. Surg Radiol Anat 2018;40:481-7. https://doi.org/10.1007/s00276-017-1924-x
  6. Schmidt WA, Schmidt H, Schicke B, Gromnica-Ihle E. Standard reference values for musculoskeletal ultrasonography. Ann Rheum Dis 2004;63:988-94. https://doi.org/10.1136/ard.2003.015081