Peroneal Nerve Palsy Resulting From Fibular Head Osteochondroma OrthoSuperSite

Description: This article describes a case of a 11-year-old boy with an osteochondroma of the peroneal head causing peroneal nerve palsy. Physical examination disclosed large exostoses palpated at the right fibular head. Neurological examination revealed paresis of the tibialis anterior, lateral peroneal, and extensor digitorum muscles with a muscle strength grade of 2. Electrophysiological studies confirmed denervation of the muscles supplied by the right peroneal nerve. Radiological examination showed an osteochondroma in the head of the right fibula. The patient underwent surgical decompression of the right peroneal nerve after resection of the bone tumor. At 36-month follow-up, there was a complete recovery of the deficits.
ORTHOPEDICS July 2009;32(7):528. Peroneal Nerve Palsy Resulting From Fibular Head Osteochondroma by Hichem Mnif, MD; Mustapha Koubaa, MD; Makram Zrig, MD; Nizar Zammel, MD; Abderrazek Abid, MD