Accessory deep peroneal nerve

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Accessory deep peroneal nerve
Autosomal dominant - en.svg
The accessory deep peroneal nerve is inherited in an autosomal dominant fashion.
Specialty Neurology, podiatry
Diagnostic method Surface electrodes, post death autopsy

The accessory deep peroneal nerve is an anomalous nerve in which the nerve splits off from the common peroneal nerve and sometimes innervates the extensor digitorum brevis muscle. By itself, the condition is harmless but in conjunction with other neurological and structural defects in the area, can make the condition more difficult. [1] The anomaly is relatively common, [2] estimated to occur in around 22-25% of people with equal distribution between women and men. [3] It is inherited in an autosomal dominant fashion.

Contents

Clinical significance

If the accessory deep peroneal nerve is damaged, it can cause inexplicable ankle pain. [2] It can also cause more pain in cases of anterior tarsal tunnel syndrome [1] and deep peroneal neuropathy. [4]

History

It was once believed that the extensor digitorum brevis muscle was only innervated by the deep peroneal nerve, as described in several German textbooks.[ citation needed ] However, with the use of surface electrodes and cadaver investigation, the secondary nerve was discovered. [2] [3]

References

  1. 1 2 Sinanović, Osman; Zukić, Sanela; Šakić, Alma; Muftić, Mirsad (October 2013). "The accessory deep peroneal nerve and anterior tarsal tunnel syndrome: case report". Acta Myologica: Myopathies and Cardiomyopathies. 32 (2): 110–112. ISSN   1128-2460. PMC   3866900 . PMID   24399869.
  2. 1 2 3 Tzika, M.; Paraskevas, G.K.; Kitsoulis, P. (September 2012). "The accessory deep peroneal nerve: A review of the literature" . The Foot. 22 (3): 232–234. doi:10.1016/j.foot.2012.05.003. PMID   22795551.
  3. 1 2 Neundörfer, B.; Seiberth, R. (1975). "The accessory deep peroneal nerve" . Journal of Neurology. 209 (2): 125–129. doi:10.1007/BF00314605. ISSN   0340-5354. PMID   51049. S2CID   8660145.
  4. Fortier, Luc M.; Markel, Michael; Thomas, Braden G.; Sherman, William F.; Thomas, Bennett H.; Kaye, Alan D. (2021-06-19). "An Update on Peroneal Nerve Entrapment and Neuropathy". Orthopedic Reviews. 13 (2): 24937. doi:10.52965/001c.24937. PMC   8567814 . PMID   34745471.