From the Departments of Physical Medicine and Rehabilitation, The Ohio State University Medical Center and Riverside Methodist Hospital, Columbus, Ohio.
Obstet Gynecol. 2011 Aug;118(2 Pt 2):421-423. doi: 10.1097/AOG.0b013e31821dac98.
Foot drop has been described as an infrequent complication from common peroneal nerve injury related to external compression and forceful knee flexion while pushing during vaginal delivery. Past recommendations include placing the hands at the posterior thighs rather than the legs to avoid this complication.
A 32-year-old woman developed unilateral foot drop after vaginal delivery. Electromyography was diagnostic for an acute compression neuropathy of the common peroneal nerve above the knee.
The patient's likely mechanism of injury occurred during delivery from external compression by the patient's dominant hand to the distal posterior thigh while under epidural anesthesia. Labor and delivery teams should be aware that nerve injury is also possible at the distal thigh with excessive external pressure.
足下垂是一种不常见的并发症，常由常见的腓总神经损伤引起，与外部压迫和分娩时强力屈膝推压有关。既往建议包括将手放在大腿后部而不是腿部，以避免这种并发症。
一位 32 岁女性在阴道分娩后出现单侧足下垂。肌电图诊断为膝上腓总神经急性压迫性神经病。
患者的损伤机制可能是在硬膜外麻醉下，患者的优势手从外部压迫到大腿后部的远端，导致损伤。分娩团队应该意识到，在大腿远端施加过大的外部压力也可能导致神经损伤。
