Evaluation and treatment of peroneal neuropathy.

Evaluation and treatment of peroneal neuropathy.
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DOI:
10.1007/s12178-008-9023-6
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发表时间:
2008-06
影响因子:
4.1
通讯作者:
Krivickas L
Krivickas L
中科院分区:
医学2区
文献类型:
--
作者:
Baima J;Krivickas L

文献摘要

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腓神经损害导致临床主诉踝背屈肌和外翻肌无力。据报道,这种足下垂的外周起源是由于许多外伤和隐秘的原因造成的。神经损伤的外伤原因与肌肉骨骼损伤或孤立的神经牵引、压迫或撕裂有关。隐匿原因包括肿块病变和代谢综合征。腓神经最常在膝盖处中断。然而,臀部和脚踝处的坐骨神经和腓神经也可能受到损害。本文回顾了神经的解剖起源、可能的神经损伤的病因、腓神经损伤患者的评估以及这种疾病的治疗。
Peroneal nerve compromise results in the clinical complaint of weakness of the ankle dorsiflexors and evertors. This peripheral origin of foot drop has been reported due to numerous traumatic and insidious causes. Traumatic causes of nerve injury occur in association with musculoskeletal injury or with isolated nerve traction, compression, or laceration. Insidious causes include mass lesions and metabolic syndromes. The peroneal nerve is most commonly interrupted at the knee. However, the sciatic and peroneal nerves may be compromised at the hip and ankle as well. This article reviews the anatomical origin of the nerve, the etiologies of possible nerve damage, evaluation of the patient with peroneal nerve injury, and treatment of this disorder.