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Abstract A syndrome of segmental neuralgia of the leg is presented based on a study of 60 extremities in 48 patients. The syndrome is characterized by a localized exquisite tenderness on the lateral side of the popliteal space, radiating distally along the outer surface of the leg and occasionally proximally toward the posterior surface of the thigh. The apparent cause of this syndrome is the entrapment of cutaneous branches (lateral cutaneous and sural communicating) of the peroneal nerve by the fascial openings for the passage of the nerves associated with compression and traction at the level of the popliteal fossa. Relief of pain has almost uniformly been achieved by injections of a local anesthetic into the area of maximal tenderness. Correct and early diagnosis may spare the patient unnecessary treatments for other conditions mistaken for this syndrome. References 1. Warren R: Ganglion of the common peroneal nerve: Case report . Ann Surg 124:152-155, 1946.Crossref 2. Stack RE, Bianco AJ Jr, MacCarty CS: Compression of the common peroneal nerve by ganglion cysts . J Bone Joint Surg 47( (PtA) ):773-778, 1965. 3. Barrett R, Cramer F: Tumors of the peripheral nerves and so-called "ganglia" of the peroneal nerve . Clin Orthop 27:135-146, 1963. 4. Kopell HP, Thompson WAL: Peripheral Entrapment Neuropathies . Baltimore, Williams & Wilkins Co, 1963, p 171. 5. Nagler SH, Rangell L: Peroneal palsy caused by crossing the legs . JAMA 133:755-761, 1947.Crossref 6. Chusid J: Yoga foot drop . JAMA 217:827-828, 1971.Crossref 7. Travell J, Rinzler SH: The myofascial genesis of pain . Postgrad Med 11:425-434, 1952. 8. Applegate WV: Abdominal cutaneous nerve entrapment syndrome . Surgery 71:118-124, 1972.
Archives of Surgery – American Medical Association
Published: Oct 1, 1972
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