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Kompressionssyndrome des N. peronaeus

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Nervenkompressionssyndrome

Zusammenfassung

Die wesentliche Kompression des N. peronaeus betrifft die Knieregion, d. h.den Eintritt des Nerven in den Peronaeuskanal zwischen den Köpfen des M. peronaeus longus nach exponiertem Verlauf um das Fibulaköpfchen. Ein Kompressionssyndrom am ventralen Sprunggelenk ist sehr selten. Nach möglichen Schmerzen am lateralen Knie wird die klinische Symtomatik durch Paresen der Fuß- und Zehenhebung einhergehend mit einer Gefühlsstörung am distalen lateralen Unterschenkel bestimmt. Die wichtigste Differenzialdiagnose ist das häufigere L5-Syndrom. Die Diagnose wird durch eine neuro- eventuell auch sonografische Untersuchung gesichert. Bei persistierendem oder progredientem neurologischen Defizit erfolgt die operative Behandlung mit im Vordergrund stehender Spaltung der sehnigen Arkade des M. peronaeus longus ventral der Fibula.

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Author information

Authors and Affiliations

  1. Praxis für periphere Neurochirurgie, EKZ am Petrus, Ringstraße 3, 69221, Dossenheim, Deutschland

    Frank Staub Prof. Dr. med. & Thomas Dombert Dr. med.

Authors
  1. Frank Staub Prof. Dr. med.
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  2. Thomas Dombert Dr. med.
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Editor information

Editors and Affiliations

  1. Schriesheim, Baden-Württemberg, Germany

    Hans Assmus

  2. Neurochirurgische Klinik der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Germany

    Gregor Antoniadis

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Staub, F., Dombert, T. (2015). Kompressionssyndrome des N. peronaeus. In: Assmus, H., Antoniadis, G. (eds) Nervenkompressionssyndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55212-0_12

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  • DOI: https://doi.org/10.1007/978-3-642-55212-0_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55211-3

  • Online ISBN: 978-3-642-55212-0

  • eBook Packages: Medicine (German Language)

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