Centre Epaule Main de Provence (CEMP), Hôpital Privé de Provence, 235, Avenue Nicolas de Staël, 13080 Aix-en-Provence, France; Clinique Axium, 42, Avenue de Lattre de Tassigny, 13090 Aix-en-Provence, France.
Alps Surgery Institute, Hand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4, Chemin de la Tour la Reine, 74000 Annecy, France.
Hand Surg Rehabil. 2022 Feb;41S:S175-S180. doi: 10.1016/j.hansur.2020.11.015. Epub 2021 Sep 24.
Dysfunction of the common peroneal nerve is the most common mononeuropathy in the lower limb and a source of significant disability for patients. The nerve can be damaged at various levels for various reasons (direct or indirect trauma, extrinsic compression, anatomical variant, endocrine, rheumatological, or neurological disease). Clinical evidence of foot drop with steppage gait is very typical. Conservative treatment should be considered as a first step (avoidance of the contributing factors, functional rehabilitation, foot drop brace ± injection). If properly conducted conservative treatment is not successful, palliative surgery is indicated: either tendon transfer using the posterior tibial tendon or ankle arthrodesis.
腓总神经功能障碍是下肢最常见的单一神经病变，也是患者致残的主要原因之一。该神经可因各种原因（直接或间接创伤、外在压迫、解剖变异、内分泌、风湿免疫或神经源性疾病等）在不同部位受损。足下垂伴跨域步态是其非常典型的临床表现。首先应考虑保守治疗（避免致病因素、功能康复、足下垂支具±注射）。如果保守治疗得当但无效，则应采用姑息性手术：可采用胫后肌腱转位或踝关节融合术。
