Common Peroneal Nerve Release at the Fibular Head 1 Mackinnon SE1 Yee A1 August 18, 2011Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.Compression of the common peroneal nerve at the fibular head is under recognized. Symptoms range from numbness and tingling in the posterior and lateral aspect of the lower leg and dorsal aspect of the foot to foot drop in severe cases of denervation. Symptoms can be exaggerated when the peroneal nerve is under tension during knee extension. The compression point of the common peroneal nerve is just distal to the fibular head as it dives deep to the peroneus longus. This is where the posterior crural intermuscular septum deep to the peroneus longus is found to be the primary contributing factor for the compression symptoms. Release of the common peroneal nerve involves dividing this intermuscular septum in addition to other tendinous septum planes and the tendinous fascia deep to the peroneal nerve.Keywords: peroneal nervefoot dropcompression neuropathynerve decompressioncrural intermuscular septumscommon peroneal nerve You must login to view the full article and extended video on this page. Standard Edition Table of Contents- Slow down- Frustration00:00:00 - Introduction00:00:10 - Orientation00:00:15 - Positioning and Location of Incision00:00:23 - Incision and Exposure00:00:37 - Identifying the Peroneus Longus00:01:07 - Identification and Division of 1st Layer of Superficial Fascia over the Common Peroneal Nerve00:01:26 - Identification and Division of 2nd Layer of Superficial Fascia over the Common Peroneal Nerve00:01:30 - Identifying the Common Peroneal Nerve00:01:45 - Division of the Superficial Fascia Over the Peroneus Longus00:02:00 - Identifying the Three Intermuscular Septum Planes00:02:18 - Division of the Posterior Crural Intermuscular Septum00:03:18 - Identifying and Releasing the Tendinous Fascia Deep to the the Peroneal Nerve00:04:07 - Division of the Anterior Crural Intermuscular Septum00:04:57 - Division of the Intermuscular Septum between Extensor Digitorum Longus and Tibialis Anterior00:05:25 - Identifying the Lateral Sural Cutaneous Nerve You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.