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Surgical outcome of foot drop caused by common peroneal nerve injuries; is the glass half full or half empty?
Acta Neurochir (Wien). 2016 06; 158(6):1133-8.AN

Abstract

BACKGROUND

Foot drop is a gait abnormality with various etiologies. The Common Peroneal Nerve (CPN) is one of the most frequently injured peripheral nerves. CPN deficit leads to foot drop. Most CPN injuries recover spontaneously; nonetheless, some require nerve surgery. The present study set out to assess the surgical outcomes of foot drop following CPN injuries.

METHOD

Surgical outcomes were reviewed in 36 subjects with foot drop caused by CPN injuries, undergoing surgical nerve exploration. The CPN injuries were confirmed by physical examination, Magnetic Resonance Imaging (MRI) and electrodiagnostic findings.

RESULTS

Subsequent to surgery, a significant improvement was seen in the motor recovery of the subjects. Interestingly, no significant difference in the recovery was found between neurolysis and nerve repair (direct repair and nerve grafting). There was no significant association between the age and the functional recovery. Gender was not associated with the functional recovery. No significant difference was seen in the recovery between thigh-level and knee-level CPN divisions.

CONCLUSIONS

The findings from the present study suggest that nerve surgery can yield beneficial results in the recovery of foot drop following CPN injuries. In addition, the surgical outcome of neurolysis in the treatment of CPN injuries can be similar to that of the nerve repair (direct repair or nerve grafting). This may show the value of nerve repair, which was comparable to neurolysis in the treatment of CPN injuries.

Authors+Show Affiliations

Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Sciences, Rasht, Iran.Department of Neurology, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. andalib@gums.ac.ir.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27106843

Citation

Emamhadi, Mohammadreza, et al. "Surgical Outcome of Foot Drop Caused By Common Peroneal Nerve Injuries; Is the Glass Half Full or Half Empty?" Acta Neurochirurgica, vol. 158, no. 6, 2016, pp. 1133-8.
Emamhadi M, Bakhshayesh B, Andalib S. Surgical outcome of foot drop caused by common peroneal nerve injuries; is the glass half full or half empty? Acta Neurochir (Wien). 2016;158(6):1133-8.
Emamhadi, M., Bakhshayesh, B., & Andalib, S. (2016). Surgical outcome of foot drop caused by common peroneal nerve injuries; is the glass half full or half empty? Acta Neurochirurgica, 158(6), 1133-8. https://doi.org/10.1007/s00701-016-2808-2
Emamhadi M, Bakhshayesh B, Andalib S. Surgical Outcome of Foot Drop Caused By Common Peroneal Nerve Injuries; Is the Glass Half Full or Half Empty. Acta Neurochir (Wien). 2016;158(6):1133-8. PubMed PMID: 27106843.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical outcome of foot drop caused by common peroneal nerve injuries; is the glass half full or half empty? AU - Emamhadi,Mohammadreza, AU - Bakhshayesh,Babak, AU - Andalib,Sasan, Y1 - 2016/04/22/ PY - 2016/02/17/received PY - 2016/04/11/accepted PY - 2016/4/24/entrez PY - 2016/4/24/pubmed PY - 2017/9/9/medline KW - CPN KW - Common peroneal nerve KW - Foot drop KW - Nerve injury KW - Nerve repair KW - Neurolysis KW - Neurosurgery KW - Peripheral nerve SP - 1133 EP - 8 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 158 IS - 6 N2 - BACKGROUND: Foot drop is a gait abnormality with various etiologies. The Common Peroneal Nerve (CPN) is one of the most frequently injured peripheral nerves. CPN deficit leads to foot drop. Most CPN injuries recover spontaneously; nonetheless, some require nerve surgery. The present study set out to assess the surgical outcomes of foot drop following CPN injuries. METHOD: Surgical outcomes were reviewed in 36 subjects with foot drop caused by CPN injuries, undergoing surgical nerve exploration. The CPN injuries were confirmed by physical examination, Magnetic Resonance Imaging (MRI) and electrodiagnostic findings. RESULTS: Subsequent to surgery, a significant improvement was seen in the motor recovery of the subjects. Interestingly, no significant difference in the recovery was found between neurolysis and nerve repair (direct repair and nerve grafting). There was no significant association between the age and the functional recovery. Gender was not associated with the functional recovery. No significant difference was seen in the recovery between thigh-level and knee-level CPN divisions. CONCLUSIONS: The findings from the present study suggest that nerve surgery can yield beneficial results in the recovery of foot drop following CPN injuries. In addition, the surgical outcome of neurolysis in the treatment of CPN injuries can be similar to that of the nerve repair (direct repair or nerve grafting). This may show the value of nerve repair, which was comparable to neurolysis in the treatment of CPN injuries. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/27106843/Surgical_outcome_of_foot_drop_caused_by_common_peroneal_nerve_injuries L2 - https://dx.doi.org/10.1007/s00701-016-2808-2 DB - PRIME DP - Unbound Medicine ER -