Italian multicentre study of peroneal mononeuropathy at the fibular head: study design and preliminary results

Aprile, Irene; Caliandro, Pietro; Giannini, F.; Mondelli, Mauro; Tonali, P.; Foschini, M.; Padua, Luca

doi:10.1007/3-211-27458-8_14

Cited by 13 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Peroneal neuropathy is the third most common focal neuropathy after median and ulnar neuropathies [ 1 - 2 ]. Men appear to be more frequently affected than women [ 3 ]. Here we have discussed the anatomical course of the common peroneal nerve and its branches for a better understanding of the localization of lesions.…”

Section: Discussionmentioning

confidence: 99%

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Kikkeri

Sakuru

Massa'a

et al. 2018

Cureus

View full text Add to dashboard Cite

Peroneal neuropathy is the most common mononeuropathy encountered in the lower extremities. Isolated injuries to the dorsal cutaneous peroneal nerve (DCPN) are uncommon, and most of the reported cases are due to trauma or iatrogenic causes. We report a case of a middle-aged woman who presented with a nine-month history of tingling sensation over the dorsum of her left foot with normal electromyography (EMG) findings and was subsequently diagnosed with entrapment of the DCPN at the ankle by ultrasonographic examination.

show abstract

Section: Discussionmentioning

confidence: 99%

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Kikkeri

Sakuru

Massa'a

et al. 2018

Cureus

View full text Add to dashboard Cite

show abstract

“… 1 , 15 However, common peroneal mononeuropathy at the fibular head occurs more frequently in males than in females (male:female =3.9:1). 2 It is believed that external pressure to the fibular head in the lithotomy position supported by a knee-crutch/leg-holder system is greater in males than in females.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is known that one risk factor for common peroneal nerve paralysis is low weight. 2 , 16 – 18 Further, very thin body habitus has been linked to the development of lower-extremity neuropathy after procedures performed on patients in the lithotomy position. 15 Above all, the common peroneal nerve disturbance caused by low body weight is called slimmer’s paralysis.…”

Section: Discussionmentioning

confidence: 99%

“… 1 Multicenter clinical neurophysiological studies in Italy report that the predisposing factors on common peroneal mononeuropathy at the fibular head are prolonged posture (23.2%), surgery (21.7%), idiopathic (16%), weight loss (14.5%), trauma (10.1%), bedridden patients (7.3%), external compression (5.8%), and arthrogenic cyst at the fibula (1.4%). 2 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors that increase external pressure to the fibular head region, but not medial region, during use of a knee-crutch/leg-holder system in the lithotomy position

Mizuno¹,

Takahashi²

2015

TCRM

View full text Add to dashboard Cite

BackgroundParalysis of the common peroneal nerve is one of the relatively common nerve injuries related to the lithotomy position with the use of a knee-crutch/leg-holder system. Several risk factors have been implicated in lithotomy position-related common peroneal nerve paralysis during operation.Materials and methodsIn the present study, 21 young healthy volunteers participated in the investigation of the causes of the paralysis of the common peroneal nerve in the lithotomy position using a knee-crutch/leg-holder; Knee Crutch. We assessed the external pressure applied to the fibular head and medial regions using the Big-Mat pressure-distribution measurement system. Relationships between the peak contact pressure and physical characteristics, such as sex, height, weight, body mass index (BMI), and fibular head circumference, were analyzed.ResultsThe peak contact pressure to the fibular head region was greater for males than for females. For all subjects, significant positive correlations were observed between the peak contact pressure to the fibular head region and weight, BMI, or fibular head circumference. However, there was no significant difference between the peak contact pressure to the fibular head region and height for any subjects. Moreover, there was no sex-related difference in the peak contact pressure to the fibular medial region, and no significant differences between the peak contact pressure to the fibular medial region and height, weight, BMI, or fibular head circumference.ConclusionExternal pressure to the fibular head region is greater for males than for females using a knee-crutch/leg-holder system in the lithotomy position. In addition, the external pressure to the fibular head region, but not the fibular medial region, increases with increasing weight, BMI, and fibular head circumference. Therefore, these patient-related characteristics may contribute to the risk of developing lower-extremity neuropathy, leading to injury or ischemia of the common peroneal nerve.

show abstract

“…Most patients with an acute exacerbation of SCPN will resolve spontaneously. 59 Patients with persistent symptoms or overt peroneal neuropathy with a steppage gait, however, may warrant peroneal nerve release. 11,36 Most importantly, identifying SCPN in hospitalized or recently hospitalized patients affords physicians an opportunity to discuss fall risk and prevention with their patients, and minimize obstacles in the hospital room and home that could lead patients to trip and fall.…”

Section: Discussionmentioning

confidence: 99%

Subclinical Peroneal Neuropathy: A Common, Unrecognized, and Preventable Finding Associated With a Recent History of Falling in Hospitalized Patients

Poppler

Groves

Sacks

et al. 2016

The Annals of Family Medicine

View full text Add to dashboard Cite

show abstract

Italian multicentre study of peroneal mononeuropathy at the fibular head: study design and preliminary results

Cited by 13 publications

References 19 publications

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Factors that increase external pressure to the fibular head region, but not medial region, during use of a knee-crutch/leg-holder system in the lithotomy position

Subclinical Peroneal Neuropathy: A Common, Unrecognized, and Preventable Finding Associated With a Recent History of Falling in Hospitalized Patients

Contact Info

Product

Resources

About

Italian multicentre study of peroneal mononeuropathy at the fibular head: study design and preliminary results

Cited by 13 publications

References 19 publications

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings

Factors that increase external pressure to the fibular head region, but not medial region, during&nbsp;use of a knee-crutch/leg-holder system in&nbsp;the lithotomy position

Subclinical Peroneal Neuropathy: A Common, Unrecognized, and Preventable Finding Associated With a Recent History of Falling in Hospitalized Patients

Contact Info

Product

Resources

About

Factors that increase external pressure to the fibular head region, but not medial region, during use of a knee-crutch/leg-holder system in the lithotomy position