scholarly journals An Uncommon Case of Bilateral Peroneal Nerve Palsy following Delivery: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Kristen Bunch ◽  
Erica Hope
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Preventive Measures ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Peroneal Neuropathy ◽  
Peroneal Palsy ◽  
Uncommon Case

Peroneal nerve palsy is an infrequent but potential complication of childbirth. Bilateral peroneal palsy is particularly rare following delivery with few reported cases. A 38-year-old gravida 1, para 0 underwent a prolonged second stage of labor, was diagnosed with an arrest of descent, and subsequently underwent an uncomplicated primary cesarean section. The patient was diagnosed with bilateral peroneal neuropathy four days after delivery. By two months postpartum, her foot drop had improved by 85% and the remainder of her symptoms resolved. Awareness of the risks of a peroneal neuropathy as well as implementation of preventive measures is important for members of the delivery team. Regional anesthesia during labor is a risk factor for the development of a peroneal neuropathy.

scholarly journals Peroneal Nerve Palsy due to Bulky Osteochondroma from the Fibular Head: A Rare Case and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
T. Cherrad ◽  
M. Bennani ◽  
H. Zejjari ◽  
J. Louaste ◽  
L. Amhajji
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Fibular Head ◽  
Success Rates ◽  
Proximal Fibula ◽  
Compressive Neuropathy

Common peroneal neuropathy is the most common compressive neuropathy in the lower extremities. The anatomical relationship of the fibular head with the peroneal nerve explains entrapment in this location. We report the case of a 14-year-old boy admitted with a left foot drop. The diagnosis was an osteochondroma of the proximal fibula compressing the common peroneal nerve. The patient underwent surgical decompression of the nerve and resection of the exostosis. Three months postoperatively, there was a complete recovery of the deficits. The association of osteochondroma and peroneal nerve palsy is rare. Early diagnosis is required in order to adjust the management and improve the results. It is worth to underscore that surgical resection is proven to be the appropriate treatment method ensuring high success rates.

Bungee jumper's foot drop peroneal nerve palsy caused by bungee cord jumping

1993 ◽  
Vol 22 (11) ◽  
pp. 1766-1767 ◽  
Author(s):  
Paul R Torre ◽  
Glenn G Williams ◽  
Thomas Blackwell ◽  
Charles P Davis
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Foot Drop ◽  
Peroneal Nerve Palsy

Tibialis Posterior Tendon Transfer in Post Injection Common Peroneal Nerve Palsy in a Paediatric Patient–A Case Report

2015 ◽  
Vol 26 (1) ◽  
pp. 17-19
Author(s):  
Pebam Sudesh ◽  
Deepak Kumar
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Peroneal Nerve Palsy ◽  
Post Injection ◽  
Common Peroneal Nerve Palsy ◽  
Tibialis Posterior Tendon Transfer

Abstract Post injection foot drop is due to common peroneal nerve damage at site of injection (gluteal region) in which dorsiflexor of foot EHL, EDL and tibialis anterior are weakend or paralysed. It can be managed by reconstructive surgery; tibialis posterior tendon transfer to EHL, EDL and 2nd metatarsal. Here objective is rehabilitation of post injection common peroneal nerve palsy foot drop in a paeditaric patient. Our method and outcome measure as first rehabilitation programme for foot drop paediatric patient (common peroneal nerve palsy) thereafter reconstructive surgery of tibialis posterior transfer to EHL, EDL and 2nd metatarsal. Last we re-educate them to tibialis posterior contraction for dorsiflexion of foot. Our result was patient was able to walk similar as normal, able to elevate her toes and foot. Patient was happy and confident with her functional foot. But patient was advised to avoid heavy work, sprinting, and active aggressive game (like foot ball). Our conclusion is patient gets benefited by this procedure.

Functional Outcomes Following Anterior Transfer of the Tibialis Posterior Tendon for Foot Drop Secondary to Peroneal Nerve Palsy

2017 ◽  
Vol 38 (6) ◽  
pp. 627-633 ◽  
Author(s):  
Byung-Ki Cho ◽  
Kyoung-Jin Park ◽  
Seung-Myung Choi ◽  
Se-Hyuk Im ◽  
Nelson F. SooHoo
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Control Group ◽  
Peroneal Nerve Palsy ◽  
Tibialis Posterior Tendon ◽  
Tibialis Posterior Tendon Transfer

Background: This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. Methods: Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. Matched controls were used to evaluate the level of functional restoration. Functional evaluations included American Orthopaedic Foot & Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAM) scores, and isokinetic muscle strength test. Radiographic evaluation for the changes of postoperative foot alignment included Meary angle, calcaneal pitch angle, hindfoot alignment angle, and navicular height. Results: Mean AOFAS, FAOS, and FAAM scores significantly improved from 65.1 to 86.2, 55.6 to 87.8, and 45.7 to 84.4 points at final follow-up, respectively. However, all functional evaluation scores were significantly lower as compared to the control group ( P < .001). Mean peak torque (60 degrees/sec) of ankle dorsiflexors, plantarflexors, invertors, and evertors at final follow-up were 7.1 (deficit ratio of 65.4%), 39.2, 9.8, and 7.3 Nm, respectively. These muscle strengths were significantly lower compared to the control group ( P < .001). No significant differences in radiographic measurements were found, and no patients presented with a postoperative flat foot deformity. One patient (5.9%) needed an ankle-foot orthosis for occupational activity. Conclusions: Anterior transfer of the tibialis posterior tendon appears to be an effective surgical option for paralytic foot drop secondary to peroneal nerve palsy. Although restoration of dorsiflexion strength postoperatively was about 33% of the normal ankle, function in daily activities and gait ability were satisfactorily improved. In addition, tibialis posterior tendon transfer demonstrated no definitive radiographic or clinical progression to postoperative flat foot deformity at intermediate-term follow-up. Level of Evidence: Level IV, retrospective case series.

scholarly journals Does Flatfoot Deformity Develop After Transfer of Posterior Tibial Tendon for the Foot Drop Secondary to Peroneal Nerve Palsy?

2016 ◽  
Vol 1 (1) ◽  
pp. 2473011416S0007
Author(s):  
Seung-Myung Choi ◽  
Byung-ki Cho ◽  
Chan Kang ◽  
Jae-Jung Jeong ◽  
Jun-Beom Kim
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Foot Drop ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Posterior Tibial

scholarly journals COMMON PERONEAL NERVE PALSY AND LONG-LASTING ROPIVACAINE DURATION AFTER INFEROLATERAL GENICULAR NERVE BLOCK: A CASE REPORT

2019 ◽  
pp. 111-114
Author(s):  
Poupak Rahimzadeh
Keyword(s):  
Case Report ◽  
Knee Osteoarthritis ◽  
Nerve Block ◽  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Left Knee ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Common Peroneal Nerve Palsy

This case report introduces a 43-year-old woman who presented with left knee pain due to knee osteoarthritis. She developed a long-lasting nerve block with ropivacaine, plus common peroneal nerve palsy and foot drop following a genicular nerve block. Key words: Ropivacaine, knee osteoarthritis, genicular nerve block, foot drop

scholarly journals Immediate Nerve Transfer for the Treatment of Peroneal Nerve Palsy Secondary to an Intraneural Ganglion: Case Report and Review

2017 ◽  
Vol 25 (1) ◽  
pp. 54-58 ◽  
Author(s):  
I. Ratanshi ◽  
T. A. Clark ◽  
Jennifer L. Giuffre
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Ankle Dorsiflexion ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Intraneural Ganglion ◽  
Motor Branch ◽  
Ganglion Cysts ◽  
The Common

Intraneural ganglion cysts that occur within the common peroneal nerve are a rare cause of foot drop. The current standard of treatment for intraneural ganglion cysts involving the common peroneal nerve involves (1) cyst decompression and (2) ligation of the articular nerve branch to prevent recurrence. Nerve transfers are a time-dependent strategy for recovering ankle dorsiflexion in cases of high peroneal nerve palsy; however, this modality has not been performed for intraneural ganglion cysts involving the common peroneal nerve. We present a case of common peroneal nerve palsy secondary to an intraneural ganglion cyst occurring in a 74-year-old female. The patient presents with a 5-month history of pain in the right common peroneal nerve distribution and foot drop. The patient underwent simultaneous cyst decompression, articular nerve branch ligation, and nerve transfer of the motor branch to the flexor hallucis longus to a motor branch of the anterior tibialis muscle. At final follow-up, the patient demonstrated complete (M4+) return of ankle dorsiflexion, no pain, and no evidence of recurrence and was able to weight bare without the need of orthotic support. Given the minimal donor site morbidity and recovery of ankle dorsiflexion, this report underscores the importance of considering early nerve transfers in cases of high peroneal neuropathy due to an intraneural ganglion cyst.

scholarly journals Immediate Nerve Transfer for Treatment of Peroneal Nerve Palsy Secondary to an Intraneural Ganglion: Case Report and Review

2018 ◽  
Vol 26 (2) ◽  
pp. 80-84 ◽  
Author(s):  
Imran Ratanshi ◽  
Tod A. Clark ◽  
Jennifer L. Giuffre
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Ankle Dorsiflexion ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Intraneural Ganglion ◽  
Motor Branch ◽  
Ganglion Cysts ◽  
The Common

Intraneural ganglion cysts, which occur within the common peroneal nerve, are a rare cause of foot drop. The current standard of treatment for intraneural ganglion cysts involving the common peroneal nerve involves (1) cyst decompression and (2) ligation of the articular nerve branch to prevent recurrence. Nerve transfers are a time-dependent strategy for recovering ankle dorsiflexion in cases of high peroneal nerve palsy; however, this modality has not been performed for intraneural ganglion cysts involving the common peroneal nerve. We present a case of common peroneal nerve palsy secondary to an intraneural ganglion cyst occurring in a 74-year-old female. The patient presented with a 5-month history of pain in the right common peroneal nerve distribution and foot drop. The patient underwent simultaneous cyst decompression, articular nerve branch ligation, and nerve transfer of the motor branch to flexor hallucis longus to a motor branch of anterior tibialis muscle. At final follow-up, the patient demonstrated complete (M4+) return of ankle dorsiflexion, no pain, no evidence of recurrence and was able to bear weight without the need for orthotic support. Given the minimal donor site morbidity and recovery of ankle dorsiflexion, this report underscores the importance of considering early nerve transfers in cases of high peroneal neuropathy due to an intraneural ganglion cyst.

Nerve Transfers for Persistent Traumatic Peroneal Nerve Palsy

Neurosurgery ◽  
2015 ◽  
Vol 77 (4) ◽  
pp. 572-580 ◽  
Author(s):  
Franck Marie Leclère ◽  
Nicole Badur ◽  
Lukas Mathys ◽  
Esther Vögelin
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Lateral Gastrocnemius ◽  
Anterior Tibial Muscle ◽  
Nerve Transfers ◽  
Anterior Tibial

Abstract BACKGROUND: Patients in whom conventional peroneal nerve repair surgery failed to reconstitute useful foot lift need to be evaluated for their suitability to undergo a concomitant tendon transfer procedure or nerve transfers. OBJECTIVE: To report our first clinical experience with nerve transfers for persistent traumatic peroneal nerve palsy. METHODS: Between 2007 and 2013, 8 patients were operated on for foot drop after unsuccessful nerve surgery. Six patients without fatty degeneration of the anterior tibial muscle and proximal lesion of the peroneal nerve were oriented for tibial to peroneal nerve transfer. In the other 2 cases where the anterior and lateral compartments were destructed, the anterior tibial muscle function was reconstructed with a neurotized lateral gastrocnemius transfer. For each patient, we graded postoperative results using the British Medical Research Council scheme and the Ninkovic assessment scale. RESULTS: Of the 6 patients who underwent nerve transfer of the anterior tibial muscle, 2 patients had excellent results, 1 patient had good results, 1 patient had fair results, and 2 patients had poor results. Of the 2 patients that underwent neurotized lateral gastrocnemius transfer, 1 patient achieved excellent results after tenolysis, whereas 1 patient achieved poor results. After the nerve transfer, 5 patients did not wear an ankle-foot orthosis. Four patients did not limp. Four patients were able to walk barefoot, navigate stairs, and participate in activities. CONCLUSION: Early clinical results after tibial to peroneal nerve transfer and neurotized lateral gastrocnemius transfer appear mixed. The results of nerve transfer seem, on the whole, less reliable than the literature reports on tendon transfer.

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