Common peroneal and posterior tibial ischemic nerve damage, a rare cause.
A 56-year old gentleman presented to our orthopaedic foot and ankle clinic, with unusual symptoms in his left foot. He described a tight sensation over his toes, "like sandpaper under his skin". The pain had started post operatively following a bilateral aorto-femoral bypass. He was subsequently investigated and found to have an ischemic lesion Identified in his common peroneal and posterior tibial nerve with associated muscle atrophy on EMG. This represents a previously unreported complication of aorto-femoral bypass surgery.
Sprowson
A P
AP
Department of trauma and orthopaedics, Cumberland Infirmary, NE3 5RA, Newtown Rd Carlisle, UK. Andrew.sprowson@btconnect.com
Rankin
K
K
Shand
J E G
JE
Ferrier
G
G
D000714:Anastomosis, Surgical / Q000009:adverse effects; D001012:Aorta, Abdominal / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery; D005528:Foot / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010543:Peroneal Nerve / Q000098:blood supply*; D020427:Peroneal Neuropathies / Q000175:diagnosis / Q000209:etiology*; D035583:Rare Diseases; D013979:Tibial Nerve / Q000098:blood supply*; D020429:Tibial Neuropathy / Q000175:diagnosis / Q000209:etiology*