The Sequelae of Drop Foot After Knee Dislocation: Evaluation and Treatment

Alejandro, Shannon F.; Maloney, Patrick J.; Grandizio, Louis C.; Cush, Gerard J.

doi:10.1053/j.otsm.2015.08.002

Cited by 2 publications

(2 citation statements)

References 59 publications

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“…Frequently, patients present with postsurgical nerve dysfunction such as radial nerve palsy after open reduction and internal fixation of humeral fractures, 144,145 peroneal and/or saphenous nerve palsy after knee ligament reconstruction and/or dislocation, 146–150 or ulnar nerve complications after medial or collateral ligament reconstruction of the elbow 151–153 . The literature addressing timing in these contexts is highly variable 144,145,148,150,151 . Generally, symptom severity and duration are thought to be indicators of potential for spontaneous recovery or need for operative intervention.…”

Section: Acute Nerve Compression/dysfunctionmentioning

confidence: 99%

“…Generally, symptom severity and duration are thought to be indicators of potential for spontaneous recovery or need for operative intervention. Although the literature lacks consensus recommendations, close monitoring of nerve symptoms is recommended in the early postoperative period (up to 12 weeks) 144,145,148,150,151 …”

Section: Acute Nerve Compression/dysfunctionmentioning

confidence: 99%

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Evidence-Based Approach to Timing of Nerve Surgery

et al. 2021

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Events causing acute stress to the health care system, such as the COVID-19 pandemic, place clinical decisions under increased scrutiny. The priority and timing of surgical procedures are critically evaluated under these conditions, yet the optimal timing of procedures is a key consideration in any clinical setting. There is currently no single article consolidating a large body of current evidence on timing of nerve surgery. MEDLINE and EMBASE databases were systematically reviewed for clinical data on nerve repair and reconstruction to define the current understanding of timing and other factors affecting outcomes. Special attention was given to sensory, mixed/motor, nerve compression syndromes, and nerve pain. The data presented in this review may assist surgeons in making sound, evidence-based clinical decisions regarding timing of nerve surgery.

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Section: Acute Nerve Compression/dysfunctionmentioning

confidence: 99%

Section: Acute Nerve Compression/dysfunctionmentioning

confidence: 99%

Evidence-Based Approach to Timing of Nerve Surgery

et al. 2021

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MRI of Foot Drop: How We Do It

et al. 2018

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Various pathologic conditions extending from the lumbar and pelvic regions to the lower leg may manifest as foot drop, or weakness of ankle dorsiflexion. Potential causes of foot drop include L5 radiculopathy, lumbosacral plexopathy, sciatic neuropathy, and peroneal neuropathy. Although the first-line test in lesion localization is most commonly electrodiagnostic testing, MR neurography has emerged as a useful tool to verify lesion site, to accurately characterize the cause of the neuropathy, and to guide patient treatment. MR neurography, when tailored and focused, can help overcome potential pitfalls in clinical and electrodiagnostic evaluation and is commonly performed in the authors' practice. MR neurography studies are protocoled in advance after careful review of clinical notes and electrodiagnostic findings and often after discussion with the referring clinician. Radiologists who interpret MR neurography studies should have a sound understanding not only of peripheral nerve anatomy and common pathologic conditions, but also of the clinical and electrodiagnostic evaluation performed in patients with foot drop. In this way, the radiologist can actively guide the referring clinician in ordering the most appropriate imaging examination, efficiently reaching the correct diagnosis, and deciding appropriate treatment.

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The Sequelae of Drop Foot After Knee Dislocation: Evaluation and Treatment

Cited by 2 publications

References 59 publications

Evidence-Based Approach to Timing of Nerve Surgery

Evidence-Based Approach to Timing of Nerve Surgery

MRI of Foot Drop: How We Do It

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