AI Article Synopsis

  • - The study investigates factors predicting symptom resolution after common peroneal nerve decompression for compressive neuropathy, focusing on demographic and electrodiagnostic data from January 2015 to April 2023.
  • - Out of 44 patients, 33 experienced symptom relief post-surgery, with a notable difference in outcomes based on sex; men showed a significantly higher likelihood of symptom resolution compared to women.
  • - While electrodiagnostic (EDX) results did not correlate with symptom outcomes, the research highlights the need for further exploration into how demographic aspects, like sex, may influence surgical results.

Article Abstract

Background: There is increasing interest in the evaluation and management of compressive neuropathy of the common peroneal nerve (CPN).

Purpose: We sought to determine demographic and electrodiagnostic predictors for resolution of symptoms after CPN decompression for compressive neuropathy. We hypothesized that severity of neuropathy (as measured by compound motor amplitudes and active or chronic denervation on electromyography) would be associated with symptom resolution after CPN decompression.

Methods: We performed a retrospective review of patients who underwent CPN decompression and had preoperative electrodiagnostic (EDX) studies at a single institution from January 1, 2015, to April 30, 2023. We performed independent samples -test and logistic regression to evaluate demographic and EDX study factors associated with symptom resolution.

Results: Of the 44 patients identified, 33 reported resolution of preoperative symptoms, with no differences based on EDX findings. The likelihood of symptom resolution was significantly higher in men than women (OR = 10.62; 95% CI = 1.218, 92.677). Patient demographics were otherwise not predictive of symptom resolution.

Conclusion: Three-quarters of our patients reported symptom resolution after CPN decompression for compressive neuropathy. While EDX studies were not predictive of outcomes, our findings suggest that sex-based factors may be contributing to outcomes. This deserves further investigation, as outcomes after surgery may be driven by preoperative characteristics such as surgeon counseling, patient expectations, or other biologic factors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572453PMC
http://dx.doi.org/10.1177/15563316241243018DOI Listing

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