Medial dorsal cutaneous nerve entrapment following inversion ankle sprain

Authors

  • Marcelo P. T. Alves Department of Orthopaedic Surgery, Hospital de Portalegre, Portugal
  • João P. G. Nóbrega Department of Orthopaedic Surgery, Hospital Nélio Mendonça, Portugal
  • Paulo F. F. M. Dourado Department of Orthopaedic Surgery, Hospital de Évora, Portugal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240432

Keywords:

Compressive neuropathy, Medial dorsal cutaneous nerve, Ankle sprain complications, Foot nerve decompression

Abstract

The medial dorsal cutaneous nerve is one of the terminal branches of the superficial peroneal nerve that provides sensory innervation to the dorsum of the foot. It may be prone to injury by direct blow, iatrogenic surgical lesion or in rare situations secondary to ankle sprains. The authors report a case of persistent ankle pain in a female patient caused by a post- traumatic compressive neuropathy of the medial dorsal cutaneous nerve secondary to an ankle sprain which was successfully surgically treated with complete resolution of the symptoms.

References

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O'Neill PJ, Parks BG, Walsh R, Simmons LM, Miller SD. Excursion and strain of the superficial peroneal nerve during inversion ankle sprain. J Bone Joint Surg Am. 2007;89(5):979-86.

Acus RW 3rd, Flanagan JP. Perineural fibrosis of superficial peroneal nerve complicating ankle sprain: a case report. Foot Ankle. 1991;11(4):233-5.

Nitz AJ, Dobner JJ, Kersey D. Nerve injury and grades II and III ankle sprains. Am J Sports Med. 1985;13(3):177-82.

Mitsiokapa E, Mavrogenis AF, Drakopoulos D, Mauffrey C, Scarlat M. Peroneal nerve palsy after ankle sprain: an update. Eur J Orthop Surg Traumatol. 2017;27(1):53-60.

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Published

2024-02-26

Issue

Section

Case Reports