PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jathtrainLink to Publisher's site
 
J Athl Train. 1996 Jan-Mar; 31(1): 68–70.
PMCID: PMC1318360

Conservative Treatment of Bilateral Sural Nerve Entrapment in an Ice Hockey Player

Brian J. Toy, PhD, ATC

Abstract

Midway through the season, an intercollegiate ice hockey player experienced bilateral numbness in the posterior aspect of the leg along the area of the calcaneal tendon. This numbness corresponded with the distribution of both sural nerves. While obtaining a history of the condition, the athlete admitted that he routinely spiraled his ice hockey laces tightly around the proximal portion of each ice hockey boot before finally tying the laces off. A complete neurological examination was negative except for the bilateral numbness. Based upon this information, a diagnosis of bilateral sural nerve entrapment was made. In addition to frequent follow-up examinations, nonoperative treatment consisted of changing the way the athlete laced his ice hockey skates. The athlete was able to complete the season and, after approximately 4 months, was asymptomatic. Although this appears to be an isolated incident, athletic trainers should be cautious when evaluating patients with paraesthesia in this region. If symptoms such as those described develop, entrapment of the sural nerve should be considered as a possible cause.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.
 
 

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Burke D, Skuse NF, Lethlean AK. Sensory conduction of the sural nerve in polyneuropathy. J Neurol Neurosurg Psychiatry. 1974 Jun;37(6):647–652. [PMC free article] [PubMed]
  • Cape CA. Sensory nerve action potentials of the peroneal, sural and tibial nerves. Am J Phys Med. 1971 Oct;50(5):220–229. [PubMed]
  • LAM SJ. A tarsal-tunnel syndrome. Lancet. 1962 Dec 29;2(7270):1354–1355. [PubMed]
  • Lee HJ, Bach HJ, DeLisa JA. Lateral dorsal cutaneous branch of the sural nerve. Standardization in nerve conduction study. Am J Phys Med Rehabil. 1992 Dec;71(6):318–320. [PubMed]
  • Pringle RM, Protheroe K, Mukherjee SK. Entrapment neuropathy of the sural nerve. J Bone Joint Surg Br. 1974 Aug;56B(3):465–468. [PubMed]
  • Roles NC, Maudsley RH. Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg Br. 1972 Aug;54(3):499–508. [PubMed]
  • Schuchmann JA. Isolated sural neuropathy: report of two cases. Arch Phys Med Rehabil. 1980 Jul;61(7):329–331. [PubMed]
  • Schuchmann JA. Sural nerve conduction: a standardized technique. Arch Phys Med Rehabil. 1977 Apr;58(4):166–168. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association