Ghent University Academic Bibliography

Advanced

Peroneal nerve: normal anatomy and pathologic findings on routine MRI of the knee

FRANS VAN DEN BERGH, Filip Vanhoenacker UGent, E De Smet, Wouter Huysse and Koenraad Verstraete UGent (2013) INSIGHTS INTO IMAGING. 4(3). p.287-299
abstract
Background : Peroneal nerve lesions are not common and are often exclusively assessed clinically and electromyographically. Methods : On a routine MR examination without dedicated MR-neurography sequences the peroneal nerve can readily be assessed. Axial T1-weighted sequences are especially helpful as they allow a good differentiation between the nerve and the surrounding fat. Results : The purpose of this article is to review the normal anatomy and pathologic conditions of the peroneal nerve around the knee. Conclusion : In the first part the variable anatomy of the peroneal nerve around the knee will be emphasized, followed by a discussion of the clinical findings of peroneal neuropathy and general MR signs of denervation. Six anatomical features may predispose to peroneal neuropathy: paucity of epineural tissue, biceps femoris tunnel, bifurcation level, superficial course around the fibula, fibular tunnel and finally the additional nerve branches. In the second part we discuss the different pathologic conditions: accidental and surgical trauma, and intraneural and extraneural compressive lesions. Teaching Points : • Six anatomical features contribute to the vulnerability of the peroneal nerve around the knee. • MR signs of muscle denervation within the anterior compartment are important secondary signs for evaluation of the peroneal nerve. • The most common lesions of the peroneal nerve are traumatic or compressive. • Intraneural ganglia originate from the proximal tibiofibular joint. • Axial T1-weighted images are the best sequence to visualise the peroneal nerve on routine MRI.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
journal title
INSIGHTS INTO IMAGING
Insights Imaging
volume
4
issue
3
pages
287 - 299
ISSN
1869-4101
DOI
10.1007/s13244-013-0255-7
language
English
UGent publication?
yes
classification
A2
copyright statement
I have retained and own the full copyright for this publication
id
3236368
handle
http://hdl.handle.net/1854/LU-3236368
date created
2013-06-05 22:32:57
date last changed
2018-01-26 12:07:03
@article{3236368,
  abstract     = {Background : Peroneal nerve lesions are not common and are often exclusively assessed clinically and electromyographically.
Methods : On a routine MR examination without dedicated MR-neurography sequences the peroneal nerve can readily be assessed. Axial T1-weighted sequences are especially helpful as they allow a good differentiation between the nerve and the surrounding fat.
Results : The purpose of this article is to review the normal anatomy and pathologic conditions of the peroneal nerve around the knee.
Conclusion : In the first part the variable anatomy of the peroneal nerve around the knee will be emphasized, followed by a discussion of the clinical findings of peroneal neuropathy and general MR signs of denervation. Six anatomical features may predispose to peroneal neuropathy: paucity of epineural tissue, biceps femoris tunnel, bifurcation level, superficial course around the fibula, fibular tunnel and finally the additional nerve branches. In the second part we discuss the different pathologic conditions: accidental and surgical trauma, and intraneural and extraneural compressive lesions.
Teaching Points :
{\textbullet} Six anatomical features contribute to the vulnerability of the peroneal nerve around the knee.
{\textbullet} MR signs of muscle denervation within the anterior compartment are important secondary signs for evaluation of the peroneal nerve.
{\textbullet} The most common lesions of the peroneal nerve are traumatic or compressive.
{\textbullet} Intraneural ganglia originate from the proximal tibiofibular joint.
{\textbullet} Axial T1-weighted images are the best sequence to visualise the peroneal nerve on routine MRI.},
  author       = {VAN DEN BERGH, FRANS and Vanhoenacker, Filip and De Smet, E and Huysse, Wouter and Verstraete, Koenraad},
  issn         = {1869-4101},
  journal      = {INSIGHTS INTO IMAGING},
  language     = {eng},
  number       = {3},
  pages        = {287--299},
  title        = {Peroneal nerve: normal anatomy and pathologic findings on routine MRI of the knee},
  url          = {http://dx.doi.org/10.1007/s13244-013-0255-7},
  volume       = {4},
  year         = {2013},
}

Chicago
VAN DEN BERGH, FRANS, Filip Vanhoenacker, E De Smet, Wouter Huysse, and Koenraad Verstraete. 2013. “Peroneal Nerve: Normal Anatomy and Pathologic Findings on Routine MRI of the Knee.” Insights into Imaging 4 (3): 287–299.
APA
VAN DEN BERGH, F., Vanhoenacker, F., De Smet, E., Huysse, W., & Verstraete, K. (2013). Peroneal nerve: normal anatomy and pathologic findings on routine MRI of the knee. INSIGHTS INTO IMAGING, 4(3), 287–299.
Vancouver
1.
VAN DEN BERGH F, Vanhoenacker F, De Smet E, Huysse W, Verstraete K. Peroneal nerve: normal anatomy and pathologic findings on routine MRI of the knee. INSIGHTS INTO IMAGING. 2013;4(3):287–99.
MLA
VAN DEN BERGH, FRANS, Filip Vanhoenacker, E De Smet, et al. “Peroneal Nerve: Normal Anatomy and Pathologic Findings on Routine MRI of the Knee.” INSIGHTS INTO IMAGING 4.3 (2013): 287–299. Print.