Posterior Midline Soleus Splitting Approach for Tibial Nerve Schwannoma Resection: A Case Report
Assessment of tibial nerve lesions is challenging for surgeons when accessing tumours without damaging adjacent tissues. Careful planning of the surgical incision is paramount in any surgical procedure. Selecting the precise location to ensure optimal visualisation while considering anatomical landm...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20965/78133_CE[Ra1]_F(SS)_QC(AN_OM)_PF1(RI_SL)_redo_PFA_NC(IS)_PN(IS).pdf |
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| Summary: | Assessment of tibial nerve lesions is challenging for surgeons when accessing tumours without damaging adjacent tissues. Careful planning of the surgical incision is paramount in any surgical procedure. Selecting the precise location to ensure optimal visualisation while considering anatomical landmarks and potential postoperative morbidity is crucial. Additionally, the size and placement of the incision are critical factors for aesthetic outcomes. Accessing tibial nerve lesions surgically is particularly difficult, especially if the lesion is located beneath the belly of the soleus muscle. The ideal method to access the tumour should avoid damage to the adjacent musculature and be ergonomic to allow dissection under magnification. In the present report of a 27-year-old male, the posterior midline soleus splitting approach to a case of tibial nerve schwannoma at the mid-tibial level is presented. In this method, the patient was placed in a prone position and approached via the posterior aspect of the calf muscle. This approach involves splitting the two heads of the soleus, dissecting the tibial nerve and reaching the tumour. This approach has the advantage of accessing the tibial nerve lesion through an avascular plane, thereby avoiding the morbidity associated with soleus dis-insertion. |
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| ISSN: | 2249-782X 0973-709X |