The accessory deep peroneal nerve and anterior tarsal tunnel syndrome: case report.

Abstract

The accessory deep peroneal (ADPN) nerve has been regarded as an anomalous nerve derived from the superficial peroneal nerve or its branch and supplies motor innervations for extensor digitorum brevis (EDB) and sensory innervations for the lateral part of the ankle and foot regions. The EDB is usually innervated exclusively by the deep peroneal nerve, a major branch of the the common peroneal nerve, however, in as many as 28% of patients (with same male/female frequency), one or both of the EDB muscles are (partially or exclusively) innervated by the ADPN nerve. This anomaly appears to be inherited in autosomal dominant fashion with incomplete gene penetrance. ADPN existence is of great clinical and surgical importance, and the aim of this study is to describe a very rare case of coexistence ADPN and anterior tarsal tunnel syndrome.

• Authors: Osman Sinanović, Sanela Zukić, Alma Šakić, Mirsad Muftić
• Journal: Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology (Acta Myol) Vol. 32 Issue 2 Pg. 110-2 (Oct 2013) ISSN: 1128-2460 [Print] Italy
• PMID: 24399869 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Electrodiagnosis (methods)
• Evoked Potentials, Motor
• Female
• Foot (innervation)
• Humans
• Leg (innervation)
• Neurologic Examination (methods)
• Neurosurgical Procedures
• Peripheral Nervous System Diseases (complications, diagnosis, physiopathology, surgery)
• Peroneal Nerve (abnormalities, physiopathology, surgery)
• Tarsal Tunnel Syndrome (complications, diagnosis, physiopathology, surgery)
• Tibial Nerve (physiopathology, surgery)
• Treatment Outcome