[Superficial peroneal nerve entrapment: ultrasound-guided hydrodissection. A case report]

Abstract

Peripheral nerve entrapment is an underdiagnosed pathology when it is not the most common syndromes such as carpal tunnel syndrome or cubital tunnel syndrome. The symptomatic lesion of the superficial peroneal nerve (SPN) has a low incidence, being its diagnosis sometimes complex. It is based on a exhaustive physical examination and imaging tests such as ultrasound (US) or magnetic resonance imaging (RMI). Conservative treatment may sometimes not be sufficient, requiring surgical techniques in refractory cases. We present a patient diagnosed with superficial peroneal nerve entrapment by ultrasound and diagnostic nerve block that was subsequently resolved by hydrodissection technique at the level of the deep crural fascia tunnel. The results were satisfactory with a complete resolution of the clinical process since the application of this technique.

Keywords: Atrapamiento; Crural fascia; Echo-guided; Ecoguiado; Entrapment; Fascia crural; Hidrodisección; Hydrodissection; Nervio peroneo superficial; Parestesias; Paresthesia; Superficial peroneal nerve.