Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration
Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic i...
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| Autor*in: |
Ho, Bryant [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
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2014 |
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© Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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| Übergeordnetes Werk: |
Enthalten in: Journal of orthopaedic surgery and research - London : Biomed Central, 2006, 9(2014), 1 vom: 06. Aug. |
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| Übergeordnetes Werk: |
volume:9 ; year:2014 ; number:1 ; day:06 ; month:08 |
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| DOI / URN: |
10.1186/s13018-014-0067-6 |
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SPR03000442X |
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| 520 | |a Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. | ||
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| 650 | 4 | |a Common peroneal nerve |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Peroneal nerve injury |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Foot drop |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Drop foot |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Posterior tibialis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Tibialis posterior |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Flexor digitorum longus |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Switaj, Paul J |4 aut | |
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| 700 | 1 | |a Fuchs, Daniel |4 aut | |
| 700 | 1 | |a Dahl, William |4 aut | |
| 700 | 1 | |a Cederna, Paul |4 aut | |
| 700 | 1 | |a Kung, Theodore A |4 aut | |
| 700 | 1 | |a Kadakia, Anish R |4 aut | |
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10.1186/s13018-014-0067-6 doi (DE-627)SPR03000442X (SPR)s13018-014-0067-6-e DE-627 ger DE-627 rakwb eng Ho, Bryant verfasserin aut Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 Khan, Zubair aut Switaj, Paul J aut Ochenjele, George aut Fuchs, Daniel aut Dahl, William aut Cederna, Paul aut Kung, Theodore A aut Kadakia, Anish R aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 9(2014), 1 vom: 06. Aug. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:9 year:2014 number:1 day:06 month:08 https://dx.doi.org/10.1186/s13018-014-0067-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2014 1 06 08 |
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10.1186/s13018-014-0067-6 doi (DE-627)SPR03000442X (SPR)s13018-014-0067-6-e DE-627 ger DE-627 rakwb eng Ho, Bryant verfasserin aut Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 Khan, Zubair aut Switaj, Paul J aut Ochenjele, George aut Fuchs, Daniel aut Dahl, William aut Cederna, Paul aut Kung, Theodore A aut Kadakia, Anish R aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 9(2014), 1 vom: 06. Aug. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:9 year:2014 number:1 day:06 month:08 https://dx.doi.org/10.1186/s13018-014-0067-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2014 1 06 08 |
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10.1186/s13018-014-0067-6 doi (DE-627)SPR03000442X (SPR)s13018-014-0067-6-e DE-627 ger DE-627 rakwb eng Ho, Bryant verfasserin aut Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 Khan, Zubair aut Switaj, Paul J aut Ochenjele, George aut Fuchs, Daniel aut Dahl, William aut Cederna, Paul aut Kung, Theodore A aut Kadakia, Anish R aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 9(2014), 1 vom: 06. Aug. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:9 year:2014 number:1 day:06 month:08 https://dx.doi.org/10.1186/s13018-014-0067-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2014 1 06 08 |
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10.1186/s13018-014-0067-6 doi (DE-627)SPR03000442X (SPR)s13018-014-0067-6-e DE-627 ger DE-627 rakwb eng Ho, Bryant verfasserin aut Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 Khan, Zubair aut Switaj, Paul J aut Ochenjele, George aut Fuchs, Daniel aut Dahl, William aut Cederna, Paul aut Kung, Theodore A aut Kadakia, Anish R aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 9(2014), 1 vom: 06. Aug. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:9 year:2014 number:1 day:06 month:08 https://dx.doi.org/10.1186/s13018-014-0067-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2014 1 06 08 |
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10.1186/s13018-014-0067-6 doi (DE-627)SPR03000442X (SPR)s13018-014-0067-6-e DE-627 ger DE-627 rakwb eng Ho, Bryant verfasserin aut Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 Khan, Zubair aut Switaj, Paul J aut Ochenjele, George aut Fuchs, Daniel aut Dahl, William aut Cederna, Paul aut Kung, Theodore A aut Kadakia, Anish R aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 9(2014), 1 vom: 06. Aug. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:9 year:2014 number:1 day:06 month:08 https://dx.doi.org/10.1186/s13018-014-0067-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2014 1 06 08 |
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Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration Common peroneal nerve palsy (dpeaa)DE-He213 Peroneal nerve palsy (dpeaa)DE-He213 Common peroneal nerve (dpeaa)DE-He213 Peroneal nerve injury (dpeaa)DE-He213 Foot drop (dpeaa)DE-He213 Drop foot (dpeaa)DE-He213 Posterior tibialis (dpeaa)DE-He213 Tibialis posterior (dpeaa)DE-He213 Flexor digitorum longus (dpeaa)DE-He213 Tendon transfer (dpeaa)DE-He213 |
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Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration |
| abstract |
Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
| abstractGer |
Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
| abstract_unstemmed |
Background Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. Method We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. Results Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. Conclusion The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. © Ho et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration |
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https://dx.doi.org/10.1186/s13018-014-0067-6 |
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Khan, Zubair Switaj, Paul J Ochenjele, George Fuchs, Daniel Dahl, William Cederna, Paul Kung, Theodore A Kadakia, Anish R |
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Khan, Zubair Switaj, Paul J Ochenjele, George Fuchs, Daniel Dahl, William Cederna, Paul Kung, Theodore A Kadakia, Anish R |
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10.1186/s13018-014-0067-6 |
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