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Am J Phys Med Rehabil. 2014 Jul;93(7):609-11. doi: 10.1097/PHM.0000000000000086.

Common peroneal nerve palsy caused by compression stockings after surgery.

Author information

1
From the Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey (ÜG); Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Nottwil, Switzerland (DS); and Department of Rehabilitation Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand (WK).

Abstract

Peroneal nerve palsy is one of the more common entrapment neuropathies of the lower limb and can be a result of a multitude of causes. Compression stockings are commonly used for prophylaxis of deep venous thromboembolism after surgery. The entrapment on the head and the neck of the fibula caused by compression stockings is uncommon. In this article, the authors report a 46-yr-old male patient who was operated on for postauricular squamous cell carcinoma of the skin. On the third postoperative day, it was noticed that compression stockings had rolled down, and a linear impression mark was observed under its upper edge at the proximal part of the left cruris. He had left foot drop and difficulty in walking during gait assessment. The needle electromyography confirmed total axonal degeneration of the left peroneal nerve with denervation potentials. The aim of this report was to emphasize the importance of the size and length of the compression stockings and regular skin control in avoiding the risk for peroneal nerve palsy.

Comment in

PMID:
24743458
DOI:
10.1097/PHM.0000000000000086
[Indexed for MEDLINE]

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