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两例小儿患者踝关节扭伤继发足下垂:病例系列报道

Foot Drop Secondary to Ankle Sprain in Two Paediatric Patients: A Case Series.

作者信息

Shah Nikki, Vemulapalli Krishna

机构信息

Trauma and Orthopaedics, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.

出版信息

Cureus. 2022 Jun 28;14(6):e26398. doi: 10.7759/cureus.26398. eCollection 2022 Jun.

Abstract

Foot drop secondary to common peroneal neuropathy is frequently due to trauma or external compression. Ankle sprains are a rarer cause of this pathology and are extremely uncommon in the paediatric population. We present two cases of acute isolated unilateral foot drop in children, both following minimal trauma. Prompt investigation with magnetic resonance imaging (MRI), electromyography (EMG) and nerve conduction studies can assist in localising the level of the lesion and indicate prognosis. Both patients made a full recovery with the use of ankle-foot orthoses and physiotherapy. This case series highlights that although rare, common peroneal nerve palsy can occur in children following relatively minor trauma. Clinicians should identify this pathology early with a detailed clinical assessment and focussed investigations to increase the potential for a favourable recovery and avoid secondary problems.

摘要

腓总神经病变继发的足下垂通常由创伤或外部压迫引起。踝关节扭伤是导致这种病变的较罕见原因,在儿科人群中极为少见。我们报告两例儿童急性孤立性单侧足下垂病例,均在轻微创伤后发生。通过磁共振成像(MRI)、肌电图(EMG)和神经传导研究进行及时检查,有助于确定病变部位并提示预后。两名患者通过使用踝足矫形器和物理治疗完全康复。该病例系列强调,尽管罕见,但腓总神经麻痹可在儿童遭受相对轻微创伤后发生。临床医生应通过详细的临床评估和针对性检查早期识别这种病变,以增加获得良好康复的可能性并避免继发问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0a/9333341/66c37c9c8a54/cureus-0014-00000026398-i01.jpg

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