Güzelküçük Ümüt, Skempes Dimitrios, Kumnerddee Wipoo
From the Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey (ÜG); Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Nottwil, Switzerland (DS); and Department of Rehabilitation Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand (WK).
Am J Phys Med Rehabil. 2014 Jul;93(7):609-11. doi: 10.1097/PHM.0000000000000086.
Peroneal nerve palsy is one of the more common entrapment neuropathies of the lower limb and can be a result of a multitude of causes. Compression stockings are commonly used for prophylaxis of deep venous thromboembolism after surgery. The entrapment on the head and the neck of the fibula caused by compression stockings is uncommon. In this article, the authors report a 46-yr-old male patient who was operated on for postauricular squamous cell carcinoma of the skin. On the third postoperative day, it was noticed that compression stockings had rolled down, and a linear impression mark was observed under its upper edge at the proximal part of the left cruris. He had left foot drop and difficulty in walking during gait assessment. The needle electromyography confirmed total axonal degeneration of the left peroneal nerve with denervation potentials. The aim of this report was to emphasize the importance of the size and length of the compression stockings and regular skin control in avoiding the risk for peroneal nerve palsy.
腓总神经麻痹是下肢较常见的卡压性神经病变之一，可由多种原因引起。压力袜常用于预防术后深静脉血栓形成。压力袜导致腓骨头和颈部受压并不常见。在本文中，作者报告了一名46岁男性患者，该患者因耳后皮肤鳞状细胞癌接受手术。术后第三天，发现压力袜滑落，在左小腿近端其上端边缘下方观察到一条线状压痕。在步态评估中，他出现左足下垂和行走困难。针极肌电图证实左侧腓总神经完全轴索性变性并伴有失神经电位。本报告的目的是强调压力袜的尺寸和长度以及定期皮肤检查对于避免腓总神经麻痹风险的重要性。
