Chronic calf pain in athletes due to sural nerve entrapment. A report of 18 cases.

摘要: We retrospectively analyzed the charts of 13 athletes (18 limbs) who had sural nerve entrapment localized in passage through superficial aponeurosis. There were 11 men and 2 women (average age, 43 years; range, 31 to 59). All patients reported chronic calf pain that was exacerbated during physical exertion. Delay diagnosis averaged 9 months (range, 5 24). Tenderness identified along course all cases. In 10 (15 electrodiagnostic testing before surgery positive. After failure nonoperative treatment, conducted under local anesthesia. Neurolysis performed by incising aponeurosis fibrous band it which passes. The results operation evaluated terms residual symptoms, ability return former sport, degree patient satisfaction. A final follow-up examination an average 14 6 30) after operation. result excellent limbs (2 bilateral), good 8 fair 1 case. differential is discussed. Increase muscle mass or development scar tissue compromised its unyielding inextensible