Idiopathic Pediatric Tibial Nerve Palsy

Emma Celano, MD; Christopher M. Fleury, MD; Esperanza Mantilla-Rivas, MD; Jacob S. Nasser, BS; Tiffany Phan, BS; Monica Manrique, MD; Albert K. Oh, MD; Robert F. Keating, MD; Gary F. Rogers, MD

doi:10.1097/GOX.0000000000003484

Plastic and Reconstructive Surgery, Global Open (Mar 2021)

Idiopathic Pediatric Tibial Nerve Palsy

Emma Celano, MD,
Christopher M. Fleury, MD,
Esperanza Mantilla-Rivas, MD,
Jacob S. Nasser, BS,
Tiffany Phan, BS,
Monica Manrique, MD,
Albert K. Oh, MD,
Robert F. Keating, MD,
Gary F. Rogers, MD

Affiliations

Emma Celano, MD: From the * Department of Neurosurgery, Children’s National Hospital, Washington, D.C.;
Christopher M. Fleury, MD: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.
Esperanza Mantilla-Rivas, MD: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.
Jacob S. Nasser, BS: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.
Tiffany Phan, BS: From the * Department of Neurosurgery, Children’s National Hospital, Washington, D.C.;
Monica Manrique, MD: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.
Albert K. Oh, MD: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.
Robert F. Keating, MD: From the * Department of Neurosurgery, Children’s National Hospital, Washington, D.C.;
Gary F. Rogers, MD: † Department of Plastic Surgery and Reconstructive Surgery, Children’s National Hospital, Washington, D.C.

DOI: https://doi.org/10.1097/GOX.0000000000003484
Journal volume & issue: Vol. 9, no. 3
p. e3484

Abstract

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Summary:. Tibial nerve entrapment is uncommon in the pediatric population, and presents diagnostic and treatment challenges. We present the unusual case of a 3-year-old male child with progressive lower leg atrophy of an unknown etiology. Preoperative electrodiagnostic testing and magnetic resonance imaging suggested proximal tibial neuropathy. Surgical exploration showed compression of the tibial nerve at the inferior fascial edge of the long head of the biceps femoris and at the soleal sling. Release and external neurolysis led to improvement of distal leg motor function.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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