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KMID : 0948920150140020093
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Clinical Pain
2015 Volume.14 No. 2 p.93 ~ p.97
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Deep Peroneal Nerve Injury Induced by Radiofrequency Selective Neurolysis -A Case Report-
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Jagn Chul-Hoon
Cho Han-Eol
Lee Jin-Hyung
Park Jung-Hyun
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Abstract
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Selective neurolysis is widely performed in private local plastic surgery clinics to give the leg a thinner shape by inducing semi-permanent nerve damage. However, it can cause long-lasting injury to nerves near the target if the procedure is not performed precisely. This case report addresses a rare complication of selective neurolysis for cosmetic calf reduction. A 32 year-old woman suffered from right foot drop after a radiofrequency selective neurolysis procedure on both gastrocnemius muscles. Magnetic resonance image of the calf revealed peripheral nerve injury of the right common peroneal nerve. An electrodiagnostic study also revealed injury of the right deep peroneal nerve. There was no improvement in her ankle dorsiflexion or toe extension on the electrodiagnostic studies at her 6 month follow-up. To avoid such a catastrophic outcome, well- trained techniques, comprehensive knowledge of anatomy and supplementary device for procedure would be essential.
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KEYWORD
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Peroneal neuropathy, Neurolysis, Drop foot
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