Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence

Abstract Traumatic injuries of the ankle are the most common injuries in sports. Up to 40% of patients who have undergone inversion ankle sprain report residual symptoms. The primary purpose of the study is to evaluate the incidence of SPN entrapment as consequence of acute severe inversion ankle sp...

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Autores principales: Francesco Falciglia, Luca Basiglini, Angelo G. Aulisa, Renato M. Toniolo
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/92fa5eef2f0a4c95857955f0792ac49d
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spelling oai:doaj.org-article:92fa5eef2f0a4c95857955f0792ac49d2021-12-02T16:17:18ZSuperficial peroneal nerve entrapment in ankle sprain in childhood and adolescence10.1038/s41598-021-94647-x2045-2322https://doaj.org/article/92fa5eef2f0a4c95857955f0792ac49d2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94647-xhttps://doaj.org/toc/2045-2322Abstract Traumatic injuries of the ankle are the most common injuries in sports. Up to 40% of patients who have undergone inversion ankle sprain report residual symptoms. The primary purpose of the study is to evaluate the incidence of SPN entrapment as consequence of acute severe inversion ankle sprain in children and adolescents; the secondary is to report the diagnostic pathway and the results after surgical treatment. From 2000 to 2015 were reviewed to summarize patients under the age of 15 years treated for a first episode of severe inversion ankle sprain. Cases with persistent symptoms (more than 3 months) indicative for SPN neuropathy were then identified. Instrumental investigations were recovered and a pre-operative assessment of pain (VAS) was recorded. Patients were evaluated at minimum of 1-year post-operative follow-up. 981 acute ankle sprains have been evaluated. 122 were considered severe according to van Dijk criteria. 5 patients were considered affected by neuropathy of the SPN. All patients underwent surgery consisting in neurolysis and capsular retention and ligament reconstruction. At 25 months of follow-up AOFAS moved from 57.6 to 98.6. The study highlights a previously unreported condition of perineural fibrosis of the superficial peroneal nerve at the level of the ankle following first acute severe inversion ankle sprain in children.Francesco FalcigliaLuca BasigliniAngelo G. AulisaRenato M. TonioloNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Francesco Falciglia
Luca Basiglini
Angelo G. Aulisa
Renato M. Toniolo
Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
description Abstract Traumatic injuries of the ankle are the most common injuries in sports. Up to 40% of patients who have undergone inversion ankle sprain report residual symptoms. The primary purpose of the study is to evaluate the incidence of SPN entrapment as consequence of acute severe inversion ankle sprain in children and adolescents; the secondary is to report the diagnostic pathway and the results after surgical treatment. From 2000 to 2015 were reviewed to summarize patients under the age of 15 years treated for a first episode of severe inversion ankle sprain. Cases with persistent symptoms (more than 3 months) indicative for SPN neuropathy were then identified. Instrumental investigations were recovered and a pre-operative assessment of pain (VAS) was recorded. Patients were evaluated at minimum of 1-year post-operative follow-up. 981 acute ankle sprains have been evaluated. 122 were considered severe according to van Dijk criteria. 5 patients were considered affected by neuropathy of the SPN. All patients underwent surgery consisting in neurolysis and capsular retention and ligament reconstruction. At 25 months of follow-up AOFAS moved from 57.6 to 98.6. The study highlights a previously unreported condition of perineural fibrosis of the superficial peroneal nerve at the level of the ankle following first acute severe inversion ankle sprain in children.
format article
author Francesco Falciglia
Luca Basiglini
Angelo G. Aulisa
Renato M. Toniolo
author_facet Francesco Falciglia
Luca Basiglini
Angelo G. Aulisa
Renato M. Toniolo
author_sort Francesco Falciglia
title Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
title_short Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
title_full Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
title_fullStr Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
title_full_unstemmed Superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
title_sort superficial peroneal nerve entrapment in ankle sprain in childhood and adolescence
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/92fa5eef2f0a4c95857955f0792ac49d
work_keys_str_mv AT francescofalciglia superficialperonealnerveentrapmentinanklespraininchildhoodandadolescence
AT lucabasiglini superficialperonealnerveentrapmentinanklespraininchildhoodandadolescence
AT angelogaulisa superficialperonealnerveentrapmentinanklespraininchildhoodandadolescence
AT renatomtoniolo superficialperonealnerveentrapmentinanklespraininchildhoodandadolescence
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