关键词: big toe drop drop foot extensor hallucis longus peroneal palsy

Mesh : Adult External Fixators Follow-Up Studies Foot Deformities, Acquired / diagnostic imaging etiology surgery Fracture Fixation / adverse effects instrumentation Gait Disorders, Neurologic / prevention & control surgery Hallux / physiopathology surgery Humans Male Peroneal Neuropathies / etiology surgery Postoperative Complications / diagnosis surgery Recovery of Function Soccer / injuries Tendon Transfer / methods Tibial Fractures / diagnostic imaging surgery Treatment Outcome

来  源:   DOI:10.1053/j.jfas.2016.08.001

Abstract:
Peroneal nerve palsy is common. The hallmark clinical manifestation of peroneal nerve palsy is drop foot. In the drop foot condition, the ankle cannot flex, and the foot does not clear the ground during the swing phase of gait. Spontaneous nerve repair can yield complete or incomplete resolution of drop foot. Some patients with incomplete resolution are left with a drop hallux condition, in which the ankle can dorsiflex, but the hallux remains unable to dorsiflex. This has not been thoroughly discussed in the past, regarding surgical repair. In the present report, we have reviewed the drop hallux condition and an effective surgical repair option (extensor hallucis longus to tibialis anterior tendon anastomosis). Our case report presents a healthy 27-year-old male who had persistent drop hallux after drop foot resolution, 3 years after external fixation of a closed, proximal tibia-fibula fracture.
摘要:
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