A case of peroneal neuropathy-induced footdrop. Correlated and compensatory lower-extremity function.
This article reports on the case of a man with peroneal neuropathy-induced footdrop who was seen at the authors' institution 3 years after open reduction and internal fixation of a proximal fibular fracture and a distal, spiral, oblique tibial fracture of the right leg. A comprehensive gait analysis was conducted. A significant footdrop in gait resulted in a "reverse check mark" center-of-pressure pattern, an increased transverse-plane rotation of the foot, and excessive knee and hip flexion in the sagittal plane. These objective findings documented significant dysfunction within the involved lower extremity; in addition, aberrant biomechanics were observed in structures other than the site of initial injury within both limbs.
Vlahovic
T C
TC
Temple University School of Podiatric Medicine, Philadelphia, PA, USA.
Ribeiro
C E
CE
Lamm
B M
BM
Denmark
J A
JA
Walters
R G
RG
Talbert
T
T
Penugonda
S
S
Furmato
J A
JA
Brower
D J
DJ
McMahon
J
J
Bhimji
S
S
Hillstrom
H J
HJ
D000328:Adult; D001696:Biomechanical Phenomena; D005360:Fibula / Q000293:injuries; D005528:Foot / Q000503:physiopathology*; D050723:Fractures, Bone / Q000150:complications; D020233:Gait Disorders, Neurologic / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D020427:Peroneal Neuropathies / Q000150:complications* / Q000503:physiopathology; D013978:Tibial Fractures / Q000150:complications; D014741:Video Recording