Peroneal Nerve Compression Secondary to an Anomalous Biceps Femoris Muscle in an Adolescent Athlete
Kevin M. Kaplan, MD, Abhay Patel, MD, and Drew A. Stein, MD
Dr. Kaplan is Orthopaedic Resident, Hospital for Joint Diseases, New York, New York.
Dr. Patel is Orthopaedic Resident, Maimonides Medical Center, Brooklyn, New York.
Dr. Stein is Orthopaedic Surgeon, Sports Medicine, Hospital for Joint Diseases, New York, New York, and Maimonides Medical Center, Brooklyn, New York.
Common peroneal nerve compression is a well-recognized entity that can cause severe debilitating clinical manifestations. The current literature describes numerous locations and mechanisms of compression, including both structural and systemic causes. Anatomical variants should be considered part of the differential diagnosis in peroneal nerve impingement.
We present the case of a 14-year-old basketball player with footdrop secondary to compression of the common peroneal nerve from an accessory biceps femoris muscle, which was treated by neurolysis. In addition, we review the systematic workup of patients with nerve compression.