Biomaterial Database

Peroneal neuropathy from ankle-foot orthoses. 2003

Monique M Ryan, and Basil T Darras, and Janet S Soul

Department of Neurology, Children's Hospital, Boston, MA 02115, USA.

Mononeuropathies are uncommon in childhood but can be a cause of significant disability. A considerable proportion of pediatric peroneal palsies arise as iatrogenic complications of casting, footboards, and intraoperative positioning. This article provides a description of a patient who developed bilateral peroneal palsies after cardiac transplantation. Factors predisposing this patient to neuropathy included hemophilia and prolonged immobilization, with focal involvement of the peroneal nerves being likely related to the use of ankle-foot orthoses. Peroneal nerve palsies are a significant, but potentially avoidable, iatrogenic complication of lower-extremity orthoses.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D009989	Orthotic Devices	Apparatus used to support, align, or augment the functioning of parts of the body.	Orthoses,Orthosis,Parapodium,Device, Orthotic,Devices, Orthotic,Orthose,Orthotic Device,Parapodiums
D005528	Foot	The distal extremity of the leg in vertebrates, consisting of the tarsus (ANKLE); METATARSUS; phalanges; and the soft tissues surrounding these bones.	Feet
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000842	Ankle	The region of the lower limb between the FOOT and the LEG.	Tarsus,Regio tarsalis,Ankles
D020427	Peroneal Neuropathies	Disease involving the common PERONEAL NERVE or its branches, the deep and superficial peroneal nerves. Lesions of the deep peroneal nerve are associated with PARALYSIS of dorsiflexion of the ankle and toes and loss of sensation from the web space between the first and second toe. Lesions of the superficial peroneal nerve result in weakness or paralysis of the peroneal muscles (which evert the foot) and loss of sensation over the dorsal and lateral surface of the leg. Traumatic injury to the common peroneal nerve near the head of the FIBULA is a relatively common cause of this condition. (From Joynt, Clinical Neurology, 1995, Ch51, p31)	Neuropathy, Common Peroneal,Neuropathy, Deep Peroneal,Neuropathy, Superficial Peroneal,Common Peroneal Nerve Entrapment,External Popliteal Neuropathy,Fibular Nerve Diseases,Fibular Neuropathy,Foot Drop,Lateral Popliteal Neuropathy,Peroneal Mononeuropathies,Peroneal Nerve Diseases,Peroneal Nerve Entrapment,Peroneal Nerve Paralysis,Peroneal Palsy,Common Peroneal Neuropathies,Common Peroneal Neuropathy,Deep Peroneal Neuropathies,Deep Peroneal Neuropathy,Entrapment, Peroneal Nerve,External Popliteal Neuropathies,Fibular Nerve Disease,Fibular Neuropathies,Foot Drops,Lateral Popliteal Neuropathies,Mononeuropathy, Peroneal,Nerve Disease, Fibular,Nerve Entrapment, Peroneal,Nerve Paralysis, Peroneal,Neuropathies, Fibular,Neuropathy, External Popliteal,Neuropathy, Fibular,Neuropathy, Lateral Popliteal,Neuropathy, Peroneal,Palsy, Peroneal,Paralysis, Peroneal Nerve,Peroneal Mononeuropathy,Peroneal Nerve Disease,Peroneal Nerve Entrapments,Peroneal Nerve Paralyses,Peroneal Neuropathy,Peroneal Neuropathy, Deep,Peroneal Neuropathy, Superficial,Peroneal Palsies,Popliteal Neuropathy, External,Popliteal Neuropathy, Lateral,Superficial Peroneal Neuropathies,Superficial Peroneal Neuropathy