Uzun Süre Litotomi Pozisyonunda Kalmaya Bağlı Gelişen Peroneal Palsi

Year 2019, , 161 - 163, 18.01.2019

NEVSUN Pıhtılı Taş

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

Keywords

Litotomi, Peroneal Palsi

Peroneal Palsy due to Long Term Lithotomy Position

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.

Keywords

Lithotomy

References

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