Neck of fibula fracture leads to which nerve injury?
First, the fibula's neck is located just below the knee, near the lateral aspect. The common peroneal nerve runs around the fibula, right? Specifically, it wraps around the neck of the fibula as it goes from the posterior thigh to the anterior leg. So if there's a fracture here, the nerve could be damaged.
Wait, the common peroneal nerve divides into the superficial and deep peroneal nerves. Injury here would affect both branches. Symptoms would include foot drop and sensory loss on the dorsum of the foot. The deep peroneal nerve is responsible for the extensor digitorum brevis and the anterior tibialis, so weakness in dorsiflexion and toe extension. The superficial peroneal nerve affects the lateral compartment, like the peroneus longus and brevis, so evertor weakness and sensory loss on the lateral leg and dorsum of the foot.
Now, the options are missing, but the correct answer is common peroneal nerve. Let's think about the distractors. The other nerves near the fibula are the tibial nerve, which is more posterior, and the sural nerve, which is on the lateral leg and foot. The saphenous nerve is a sensory branch from the femoral nerve, so it's not related to the fibula neck. The sciatic nerve splits into tibial and common peroneal, but the division is higher up, so a fibula neck fracture wouldn't affect the sciatic directly.
Clinical pearl: Remember the common peroneal nerve's course around the fibula. Fractures here can cause foot drop. Also, the nerve is vulnerable to trauma in this area because it's superficial there. So the key point is common peroneal nerve injury from fibula neck fractures.
**Core Concept**
The neck of the fibula is a critical anatomical landmark where the **common peroneal nerve** (a branch of the sciatic nerve) wraps around the fibular head. Injury here disrupts motor and sensory function in the lower leg and foot due to damage to its two terminal branches: **superficial** and **deep peroneal nerves**.
**Why the Correct Answer is Right**
Fracture of the fibular neck directly compresses or lacerates the **common peroneal nerve**, which traverses the fibular collateral ligament and is anatomically vulnerable at this location. This leads to:
- **Motor deficits**: Foot drop (loss of dorsiflexion/eversion) due to paralysis of anterior/lateral compartment muscles (e.g., tibialis anterior, peroneus longus).
- **Sensory loss**: Dorsal foot and lateral leg numbness from superficial peroneal nerve injury.
- **Gait abnormality**: Steppage gait due to inability to clear the foot during walking.
**Why Each Wrong Option is Incorrect**
**Option A:** *Tibial nerve* β Incorrect. The tibial nerve innervates the posterior compartment (plantar flexors) and is not anatomically related to the fibular neck.
**Option B:** *Saphenous nerve* β