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- Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
Correspondence Address:
Joseph Yunga Tigre, Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
DOI:10.25259/SNI_835_2023
Copyright: © 2024 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Joseph Yunga Tigre, Mia Begera, Emily L. Errante, S. Shelby Burks. Exploration of the right peroneal nerve after a gunshot wound. 12-Jan-2024;15:10
How to cite this URL: Joseph Yunga Tigre, Mia Begera, Emily L. Errante, S. Shelby Burks. Exploration of the right peroneal nerve after a gunshot wound. 12-Jan-2024;15:10. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=12708
Date of Submission
14-Oct-2023
Date of Acceptance
12-Dec-2023
Date of Web Publication
12-Jan-2024
Abstract
Background: Gunshot wounds (GSWs) often result in neuropraxia or a mixed injury pattern rather than direct nerve transection. There is still debate between early and delayed intervention for the optimal treatment of intact nerves following GSWs. Early intervention may prevent the formation of dense scar tissue, and delayed intervention allows for the zone of injury to be fully demarcated for optimal treatment planning. Here, we present the case of a 29-year-old male who underwent exploration of the right common peroneal nerve after a GSW.
Case Description: A 29-year-old male presented for evaluation of a GSW to the right lower extremity at the level of the fibular head he sustained 2 months prior. Following his injury, he was immediately evaluated in the emergency department and offered supportive care. He reported paresthesias in the right lower extremity and a right-sided foot drop. Computed tomography demonstrated a bullet fragment in the distal right lower extremity, and ultrasound revealed a partial thickness injury in the right peroneal nerve. Exploration of the right common peroneal nerve and bullet fragment was recommended. The bullet fragment was removed from the distal right lower extremity in one piece. Following this, the right common peroneal nerve was decompressed proximally to distally, with scar tissue encountered distally. Postoperatively, the patient did well, ambulating shortly after surgery, and at 3 weeks postoperative, he was ambulating without difficulty.
Conclusion: Clinical judgment and risk-benefit analysis of each patient must be made individually to determine the most optimal treatment method following GSWs.
Keywords: Gunshot wound, Peroneal nerve decompression, Trauma
Video 1
Annotations[1-4]
1) 0:05 – Case presentation 2) 0:44 – Neuroimaging findings 3) 1:35 – Surgical discussion 4) 3:01 – Surgical video 5) 5:00 – Background 6) 5:42 – Review of clinical outcome 7) 5:50 – References
Ethical approval
Institutional Review Board approval is not required.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
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Disclaimer
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
References
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