Involvement of superficial peroneal sensory nerve in common peroneal neuropathy

Muscle Nerve. 2005 Jun;31(6):725-9. doi: 10.1002/mus.20329.

Abstract

Motor involvement in common peroneal neuropathy (CPN) frequently shows a selective pattern with regard to deep and superficial divisions of the peroneal nerve, by clinical examination and needle electromyography. The involvement of the sensory branch of the superficial peroneal nerve (SPN) has not been well established using nerve conduction studies. Among 42 cases of electrophysiologically defined CPN in 35 patients, 37 (88%) had clinical or electrophysiologic evidence for SPN involvement, but only 20 had diminished superficial peroneal sensory response (SPSR) amplitudes. Many of the cases involving normal SPSRs had significant axonal loss involving deep peroneal motor fibers. Sparing of the superficial peroneal sensory fibers provides further evidence for the selective vulnerability of different nerve fascicles to injury. This is an important pattern to recognize; from a practical standpoint, focal segmental conduction abnormalities in the motor nerve and EMG findings can help to differentiate these lesions from L-5 radiculopathy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diagnosis, Differential
  • Electromyography
  • Female
  • Humans
  • Leg / innervation
  • Leg / physiopathology
  • Male
  • Middle Aged
  • Motor Neurons / physiology
  • Muscle Weakness / diagnosis
  • Muscle Weakness / etiology
  • Muscle Weakness / physiopathology
  • Muscle, Skeletal / innervation
  • Muscle, Skeletal / physiopathology
  • Neural Conduction / physiology
  • Neurons, Afferent / physiology
  • Peroneal Nerve / injuries*
  • Peroneal Nerve / pathology
  • Peroneal Nerve / physiopathology*
  • Peroneal Neuropathies / diagnosis*
  • Peroneal Neuropathies / physiopathology
  • Radiculopathy / diagnosis
  • Radiculopathy / physiopathology
  • Retrospective Studies
  • Sensation Disorders / diagnosis*
  • Sensation Disorders / etiology
  • Sensation Disorders / physiopathology