Review Article
Compression-Caused Peroneal Neuropathy: Commentary from a Biopsychologist
Abstract
Compression is the most common cause of damage to the fibular head, the site of most peroneal nerve injuries causing foot drop. Circumstances that give rise to these compression injuries include habitual leg-crossing and prolonged immobility. A review of the medical literature does not reveal the existence of a nationwide study that investigates the prevalence of compression-caused foot drop, nor does the literature contain encouragement to arrange medical practices to prevent its occurrence. Treatments for foot drop do not incorporate the use of sensory integration, specifically, use of the visual sense, during rehabilitation. Compression-caused foot drop may be preventable, a conclusion that would ultimately have important implications in the context of Medicare and Medicaid reimbursement.This content is limited to qualifying members.
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References
1.Kaminsky F. Peroneal palsy by crossing the legs. JAMA 1947;134:206.
2.Pritchett JW, Porembski MA. Foot drop. December 26, 2006. Available at: http://www.emedicine.com/orthoped/TOPIC389.HTM. Accessed May 31, 2008.
3.Aprile I, Caliandro P, La Torre G, et al. Multicenter study of peroneal mononeuropathy: clinical neurophysiologic, and quality of life assessment. J Peripher Nerv Syst 2005;10:259–268.
4.Tacconi P, Manca D, Tamburini G, et al. Bed footboard peroneal and tibial neuropathy: a further unusual type of Saturday night palsy. J Peripher Nerv Syst 2004;9:54–56.
5.Hollis MH, Lemay DE, Jensen RP. Nerve entrapment syndromes of the lower extremity. March 17, 2008. Available at: http://www.emedicine.com/orthoped/TOPIC389.HTM. Accessed June 2, 2008.
6.Ebenezer S, Dust W. Missed acute isolated peroneal compartment syndrome. CJEM 2002;4:355–358.
7.Weyns FJ, Beckers F, Vanormelingen L, et al. Foot drop as a complication of weight loss after bariatric surgery: is it preventable? Obes Surg 2007;17:1209–1212.
8.Matsubara K, Nigami H, Harigaya H, et al. Peroneal mononeuropathy in pediatric Hodgkin's disease. Leuk Lymphoma 2000;40:205–207.
9.Burns TM, Shneker BF, Juel VC. Gasoline sniffing multifocal neuropathy. Pediatr Neurol 2001;25:419–421.
10.Cebesoy O, Tutar E, Isik M, et al. A case of isolated giant plexiform neurofibroma involving all branches of the common peroneal nerve. Arch Orthop Trauma Surg 2007;127:709–712.
11.Ryan MM, Darras BT, Soul JS. Peroneal neuropathy from ankle-foot orthoses. Pediatr Neurol 2003;29:72–74.
12.Usmani N, Baxter KF, Sheehan-Dare R. Partially reversible common peroneal nerve palsy secondary to compression with four-layer bandaging in a chronic case of venous leg ulceration. Br J Dermatol 2004;150:1224–1225.
13.Stewart JD. Foot drop: where, why, and what to do? Pract Neurol 2008;8:158–169.
14.Jones HR Jr, Felice KJ, Gross PT. Pediatric peroneal mononeuropathy: a clinical and electromyographic study. Muscle Nerve 1993;16:1167–1173.
15.Piton C, Fabre T, Lasseur E, et al. [Common fibular nerve lesions. Etiology and treatment. Apropos of 146 cases with surgical treatment.] Rev Chir Orthop Reparatrice Appar Mot 1997;83:515–521 [in French].
16.Herridge MS, Cheung AM, Tansey CM, et al; Canadian Critical Care Trials Group. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003;348:683–693.
17.Pittman GR. Peroneal nerve injury following sequential pneumatic compression. JAMA 1989;261:2201–2202.
18.Sheffler LR, Hennessey MT, Naples GG, et al. Peroneal nerve stimulation versus ankle foot orthosis for correction of footdrop in stroke: impact on functional ambulation. Neurorehabil Neural Repair 2006;20:355–360.
19.Geboers JF, Drost MR, Spaans F, et al. Immediate and long-term effects of ankle-foot orthosis on muscle activity during walking: a randomized study of patients with unilateral foot drop. Arch Phys Med Rehabil 2002;83:240–245.
20.Wilkinson MC, Birch R. Repair of the common peroneal nerve. J Bone Joint Surg Br 1995;77:501–503.
21.Brumett D Sr, Rouhe SA, Struven JB, et al. Treatment of foot drop using a dynamic, non-rigid dorsiflexion foot lifter. Orthopedics 2005;28:551–554.
22.Fabre T, Piton C, Andre D, et al. Peroneal nerve entrapment. J Bone Joint Surg Am 1998;80:47–53.
23.Reichner DR, Evans G. Tibial and common peroneal nerve compression in the popliteal fossa: a case report and literature. Internet J Plast Surg 2004;2:9–16.
24.Aprile I, Padua L, Padua R, et al. Peroneal mononeuropathy: predisposing factors, and clinical and neurophysiological relationships. Neurol Sci 21;367–371.
25.Flores LP, Koerbel A, Tatagiba M. Peroneal nerve compression resulting from fibular head osteophyte-like lesions. Surg Neurol 2005;64:249–252; discussion 252.
26.Hoffer JA, Stein RB, Haugland MK, et al. Neural signals for command control and feedback in functional neuromuscular stimulation: a review. J Rehabil Res Dev 1996;33:145–157.
27.Kostov A, Hansen M, Haugland M, et al. Adaptive restriction rules provide functional and safe stimulation pattern for foot drop correction. Artif Organs 1999;23:443–446.
28.Sujith OK. Functional electrical stimulation in neurological disorders. Eur J Neurol 2008;15:437–444.
29.Kenney L, Bultstra G, Buschman R, et al. An implantable two channel drop foot stimulator: initial clinical results. Artif Organs 2002;26:267–270.
30.Shimada Y, Matsunaga T, Misawa A, et al. Clinical application of peroneal nerve stimulator system using percutaneous intramuscular electrodes for correction of foot drop in hemiplegic patients. Neuromodulation 2006;9:320–327.
31.Burridge JH. Does the drop-foot stimulator improve walking in hemiplegia? Neuromodulation 2001;4:77–83.
32.Burridge JH, Elessi K, Pickering RM, et al. Walking on an uneven surface: the effect of common peroneal stimulation on gait parameters and relationship between perceived and measured benefits in a sample of participants with a drop foot. Neuromodulation 2007;10:59–67.
33.Kottink AI, Hermens HJ, Nene AV, et al. Therapeutic effect of an implantable peroneal nerve stimulator in subjects with chronic stroke and foot drop: a randomized controlled trial. Phys Ther 2008;88:437–448.
34.Sargent JD. Review of “biofeedback: principles and practice for clinicians.” Ann Med 1984;100:773–774.
35.Basmajian JV, Kukulka CG, Narayan MG, et al. Biofeedback treatment of foot-drop after stroke compared with other standard rehabilitation technique: effects on voluntary control and strength. Arch Phys Med Rehabil 1975;56:231–236.
36.Bradley L, Hart BB, Mandana S, et al. Electromyographic biofeedback for gait training after stroke. Clin Rehabil 1998;12:11–22.
37.Dozza M, Wall C III, Peterka RJ, et al. Effects of practicing tandem gait with and without vibrotactile biofeedback in subjects with unilateral vestibular loss. J Vestib Res 2007;17:195–204.
38.Lajoie Y, Teasdale N, Cole JD, et al. Gait of a deafferented subject without large myelinated sensory fibers below the neck. Neurology 1996;47:109–115.
39.Ramachandran VS, Rogers-Ramachandran D. It's all done with mirrors. Sci Am 2008;18:66–69.
40.Nielsen JB, Sinkjaer T. Afferent feedback in the control of human gait. J Electromyogr Kinesiol 2002;12:213–217.
41.Pronovost PJ, Goeschel CA, Wachter RM. The wisdom and justice of paying for “preventable complications.” JAMA 2008;299:2197–2199.
42.Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA 2006;296:974–984.
43.Lynn J, West J, Hausmann S, et al. Collaborative clinical quality improvement for pressure ulcers in nursing homes. J Am Geriatr Soc 2007;55:1663–1669.
44.Kannus P, Parkkari J, Niemi S, et al. Fall-induced deaths among elderly people. Am J Public Health 2005;95:422–424.
45.Taler GA. A clarion call to rethink pressure ulcers in America. J Am Geriatr Soc 2007;55:1674–1675.
