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Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi

Year 2019, Volume: 12 Issue: 1, 161 - 163, 18.01.2019
https://doi.org/10.31362/patd.406197

Abstract






 
Peroneal sinirin tuzak nöropatisi alt ekstremitede en sık görülen
tuzak nöropatidir






Anatomik
seyri nedeniyle dış basılara sıklıkla maruz kalır ve çok yüzeyel olduğu için
bası en sık
fibula başında meydana gelir. Bası nedenleri arasında eksternal kompresyon,
travma, uzun süre bacak bacak üzerine atma, çömelme gibi pozisyonel sebepler
sayılabilir. Ayrıca normal doğum veya küretaj gibi nedenlerle uzun süre
litotomi pozisyonunda kalmak nadirde olsa eksternal basıya yol açabilir(1,2).






 Hastalarda kas
güçsüzlüğüne sekonder düşük ayak ve yürüme güçlüğü gelişebilir.






 Literatürde obstetrik vakalarda nörolojik
hasara bağlı alt ekstremite duyu ve motor disfonksiyon insidansı %0.008 ile
%0.5 arasında değişmektedir(3,4). Bu yazıda küretaj
sırasında uzun süre litotomi pozisyonunda kalmaya bağlı nadir görülen peroneal
sinirin tuzaklanması olan bir olgunun klinik değerlendirme, tanı ve tedavi
planlanması tartışılmıştır

References

  • KAYNAKLAR:1.Warner MA, Warner DO, Harper CM, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 2. Waespe W, Saurenmann E, Rageth JC. Postpartum footdrop. Frauenklinik Limmattalspital, Schlieren Schweiz Med Wochenschr 2000; 130:70-1.
  • 3. Scurr JR, Scurr JH. Common peroneal nerve injury during varicose vein surgery. Eur J Vasc Endovasc Surg 2006; 32:334-5
  • 4. Warner MA, Warner DO, Harper M, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 5. Watemberg N, Amsel S, Sadeh M, Lerman-Sagie T. Common peroneal neuropathy due to surfing. J Child Neurol2000; 15:420-1.6. Lippin Y, Shvoron A, Yaffe B, Zwas ST, Tsur H. Postburn peroneal nerve palsy: a report of two consecutive cases. Burns 1993; 19:246-8.
  • 7. Van Langenhove M, Pollefliet A. Vanderstraeten G. A retrospective electrodiagnostic evaluation of footdrop in 303 patients. Electromyogr Clin Neurophysiol. 1989;29(3):145-152.
  • 8 .Flanigan RM, DiGiovanni BF. Peripheral nerve entrapments of the lower leg, ankle and foot. Foot Ankle Clin. 2011;16(2):255-274
  • 9. Scurr JR, Scurr JH. Common peroneal nerve injury during varicose vein surgery. Eur J Vasc Endovasc Surg 2006; 32:334-5
  • 10.Warner MA, Warner DO, Harper M, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 11. Preston DC, Shapiro BE. Electromyography and neuromuscular disorders. Boston: Butterworth-Heinemann, 1998; 307-36.
  • 12. Erol O, Ozçakar L, Kaymak B. Bilateral peroneal neuropathy after surgery in the lithotomy position. Aesthetic Plast Surg 2004;28 :254-5.
  • 13. Brown RE, Storm BW. Congenital common peroneal nerve compression. Ann Plast Surg 1994;33: 326-9.
  • 14. Styf J, Morberg P. The superficial peroneal tunnel syndrome. Results of treatment by decompression. J Bone Joint Surg Br 1997;79: 801-3

Peroneal Palsy due to Long Term Lithotomy Position

Year 2019, Volume: 12 Issue: 1, 161 - 163, 18.01.2019
https://doi.org/10.31362/patd.406197

Abstract




Trapezoidal neuropathy of the peroneal nerve is the most common entrapment
neuropathy in the lower extremity
. Because of the anatomical progression,
the external pressure is frequently exposed and the pressure is most often
superficial, so the compression most often occurs at the head of the fibula.
Other causes may include external compression, trauma, long-leg position,
crouching. In addition, long-term lithotomy positioning for reasons such
as normal delivery or curettage may rarely lead to external compression. In
patients with weak muscles, low legs and walking difficulty may develop
secondary. In the literature, the incidence of lower extremity sensory
and motor dysfunction due to neurological impairment in obstetric cases ranges
from 0.008% to 0.5%.
In
this article, the clinical evaluation, diagnosis and treatment planning of a
case with a rare peroneal nerve entrapment due to prolonged lithotomy position
during curettage has been discussed.




References

  • KAYNAKLAR:1.Warner MA, Warner DO, Harper CM, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 2. Waespe W, Saurenmann E, Rageth JC. Postpartum footdrop. Frauenklinik Limmattalspital, Schlieren Schweiz Med Wochenschr 2000; 130:70-1.
  • 3. Scurr JR, Scurr JH. Common peroneal nerve injury during varicose vein surgery. Eur J Vasc Endovasc Surg 2006; 32:334-5
  • 4. Warner MA, Warner DO, Harper M, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 5. Watemberg N, Amsel S, Sadeh M, Lerman-Sagie T. Common peroneal neuropathy due to surfing. J Child Neurol2000; 15:420-1.6. Lippin Y, Shvoron A, Yaffe B, Zwas ST, Tsur H. Postburn peroneal nerve palsy: a report of two consecutive cases. Burns 1993; 19:246-8.
  • 7. Van Langenhove M, Pollefliet A. Vanderstraeten G. A retrospective electrodiagnostic evaluation of footdrop in 303 patients. Electromyogr Clin Neurophysiol. 1989;29(3):145-152.
  • 8 .Flanigan RM, DiGiovanni BF. Peripheral nerve entrapments of the lower leg, ankle and foot. Foot Ankle Clin. 2011;16(2):255-274
  • 9. Scurr JR, Scurr JH. Common peroneal nerve injury during varicose vein surgery. Eur J Vasc Endovasc Surg 2006; 32:334-5
  • 10.Warner MA, Warner DO, Harper M, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology 2000; 93:938-42.
  • 11. Preston DC, Shapiro BE. Electromyography and neuromuscular disorders. Boston: Butterworth-Heinemann, 1998; 307-36.
  • 12. Erol O, Ozçakar L, Kaymak B. Bilateral peroneal neuropathy after surgery in the lithotomy position. Aesthetic Plast Surg 2004;28 :254-5.
  • 13. Brown RE, Storm BW. Congenital common peroneal nerve compression. Ann Plast Surg 1994;33: 326-9.
  • 14. Styf J, Morberg P. The superficial peroneal tunnel syndrome. Results of treatment by decompression. J Bone Joint Surg Br 1997;79: 801-3
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Report
Authors

NEVSUN Pıhtılı Taş 0000-0003-0202-6426

Publication Date January 18, 2019
Submission Date March 15, 2018
Acceptance Date July 23, 2018
Published in Issue Year 2019 Volume: 12 Issue: 1

Cite

APA Pıhtılı Taş, N. (2019). Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi. Pamukkale Medical Journal, 12(1), 161-163. https://doi.org/10.31362/patd.406197
AMA Pıhtılı Taş N. Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi. Pam Med J. January 2019;12(1):161-163. doi:10.31362/patd.406197
Chicago Pıhtılı Taş, NEVSUN. “Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi”. Pamukkale Medical Journal 12, no. 1 (January 2019): 161-63. https://doi.org/10.31362/patd.406197.
EndNote Pıhtılı Taş N (January 1, 2019) Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi. Pamukkale Medical Journal 12 1 161–163.
IEEE N. Pıhtılı Taş, “Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi”, Pam Med J, vol. 12, no. 1, pp. 161–163, 2019, doi: 10.31362/patd.406197.
ISNAD Pıhtılı Taş, NEVSUN. “Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi”. Pamukkale Medical Journal 12/1 (January 2019), 161-163. https://doi.org/10.31362/patd.406197.
JAMA Pıhtılı Taş N. Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi. Pam Med J. 2019;12:161–163.
MLA Pıhtılı Taş, NEVSUN. “Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi”. Pamukkale Medical Journal, vol. 12, no. 1, 2019, pp. 161-3, doi:10.31362/patd.406197.
Vancouver Pıhtılı Taş N. Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi. Pam Med J. 2019;12(1):161-3.

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