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A case of delayed dropped foot secondary to post-traumatic fibular bone spur

Pied équin paralytique tardif secondaire à un ostéophyte fibulaire post-traumatique

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Abstract

We describe a case with delayed compression of the common peroneal nerve by a fibular bone spur that occurred 16 months following the original injury. Pertinent clinical findings helped us in suspecting a neurological lesion involving the common peroneal nerve. Anatomical location, type and severity of the lesion were ascertained with the help of urgent electromyography and nerve conduction studies. Irreversible damage to the motor axons leading to permanent functional disability can be prevented by early decompression in a case with delayed dropped foot as a sequel to bone spur.

Résumé

Les auteurs rapportent un cas de compression tardive du nerf fibulaire commun par un éperon osseux, apparue 16 mois après le traumatisme initial. La localisation ainsi que la sévérité du déficit ont conduit à réaliser en urgence un examen électromyographique. La décompression et l’excision rapide de l’éperon osseux ont évité dans ce cas la survenue de séquelles définitives.

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Correspondence to H. Sharma.

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Sharma, H., Bhagat, S., Sinha, A. et al. A case of delayed dropped foot secondary to post-traumatic fibular bone spur. Eur J Orthop Surg Traumatol 14, 252–254 (2004). https://doi.org/10.1007/s00590-004-0167-9

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  • DOI: https://doi.org/10.1007/s00590-004-0167-9

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