Treatment of a Neuroma-in-continuity of the peroneal nerve with nerve bypass grafts - A case report

Treatment of neuroma-in-continuity involves neurolysis or resection with in terposition nerve grafting of the involved segment. These techniques may be complicated by loss of remaining conduction through axons that were intact prior to surgical neurolysis or grafting. The authors have shown previousl y that axonal regeneration occurs in an autologous bypass graft in the rat model. They applied this technique to a neuroma-in-continuity of the perone al nerve of a 22-year-old woman who sustained an injury to the peroneal ner ve after arthroscopic surgery, with excellent results. Nerve bypass may be the procedure of choice for treatment of neuroma-in-continuity.