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Seventeen children with pediatric peroneal mononeuropathies evaluated between 1979 and 1991 are reported.Twelve boys and 5 girls,ranging in age from 1.5 months to 17 years,were referred for footdrop in 16 children(94%) or for lower extremity pain in 1 child(6%).Causes included compression in 10 children(59%),trauma in 3 children(18%),entrapment in 3 children(18%), and indeterminate in 1 child(5%).Based on nerve conduction studies and electromyography,the level of the pediatric peroneal mononeuropathic lesion was the common peroneal nerve in 10 children(59%),the deep peroneal nerve in 2 children(12%),and the superficial peroneal nerve in 1 child (5%).In 4 other children(24%),pediatric peroneal mononeuropathy at the knee was not more precisely identified.Surgical exploration in 3 children with progressive pediatric peroneal mononeuropathy was valuable. Improvement occurred in 13 of 17 children(76%). |
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