Two clinical cases of peroneal nerve lesion (patients 13 and 16 years) resulted from intraneural ganglion are presented. It is shown that only radical surgical intervention including resection of tibiofibular junction, removal of communicating canal and nerve decompression using cyst dissection (Spinner technique) could prevent ganglion relapse. In first patient completely lost peroneal nerve function was restored by musculotendinous transposition.
Clinical analysis of gate in children with neurogenic feet deformities before and 1 year after musculotendinous transposition was performed. Study was performed using programmable hardware complex combined with dynamometric platform and electromyelograph. Temporal, kinematic and kinetic parameters of a stride cycle were determined. Degree of walking asymmetry was evaluated using asymmetry parameter. Besides the pattern of joint mobility disturbance and degree of muscular function loss or decrease were taken into account. Complex clinical analysis of walking enabled to detect and worked out in details the disturbances of injured extremity function before surgery as well as to establish the improvement of weight bearing ability of the injured extremity, decrease in compensatory overload of the collateral healthy extremity and lowering of asymmetry parameter after surgery.
Two clinical cases of peroneal nerve lesion (patients 13 and 16 years) resulted from intraneural ganglion are presented. It is shown that only radical surgical intervention including resection of tibiofibular junction, removal of communicating canal and nerve decompression using cyst dissection (Spinner technique) could prevent ganglion relapse. In first patient completely lost peroneal nerve function was restored by musculotendinous transposition.
Clinical analysis of gate in children with neurogenic feet deformities before and 1 year after musculotendinous transposition was performed. Study was performed using programmable hardware complex combined with dynamometric platform and electromyelograph. Temporal, kinematic and kinetic parameters of a stride cycle were determined. Degree of walking asymmetry was evaluated using asymmetry parameter. Besides the pattern of joint mobility disturbance and degree of muscular function loss or decrease were taken into account. Complex clinical analysis of walking enabled to detect and worked out in details the disturbances of injured extremity function before surgery as well as to establish the improvement of weight bearing ability of the injured extremity, decrease in compensatory overload of the collateral healthy extremity and lowering of asymmetry parameter after surgery.
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