Recovery after neurologic injury in operative acetabular and pelvic fractures: Defining the natural history of foot drop.

Introduction: Dorsiflexion weakness, or footdrop, is a well-described sequela of high-energy acetabular and pelvic trauma, but little data exists describing the factors related to neurologic recovery and the timeline therein. An improved understanding of these factors would facilitate prognostication, patient education, and treatment decision-making. The aim of this study was to compare neurologic recovery between acetabular and pelvic fractures, delineate factors associated with recovery, and determine the expected timeline of recovery.

Teicoplanin-Induced Acute Thrombocytopenia in a Patient With Foot Osteomyelitis.

This clinical case report explores the occurrence of acute thrombocytopenia following teicoplanin infusion in a patient with diabetic foot osteomyelitis. The patient, a 54-year-old male with a medical history of chronic kidney disease, hypertension, and type II diabetes mellitus, experienced a severe drop in platelet count during teicoplanin treatment. The article discusses the clinical presentation, diagnostic assessments, and management of teicoplanin-induced thrombocytopenia.

Morphological Variability of the Sural Nerve and Its Clinical Significance.

The sural nerve provides sensory innervation to the skin on the distal posterolateral third of the lower extremity. The morphological variants are characterized by high variability. However, it most commonly arises from a union of the medial sural cutaneous nerve and the peroneal communicating branch of the common fibular nerve.

Complete foot drop due to atypical peroneal ganglion in a 13 ½ year old boy.

Introduction: Peroneal nerve palsy due to compression by an intraneural ganglion is an uncommon entity in the pediatric setting with a need for surgical treatment. Uniquely in this case, the ganglion presented as an elongated instead of a typical round cyst, delaying diagnosis and treatment.

Case Presentation: We present the case of a 13 ½ year old boy with increasing peroneal nerve palsy due to an atypically shaped intraneural ganglion.

Progressive Unilateral Foot Drop in a Child due to Neuromuscular Choristoma.

An 8.5-year-old boy presented with a history of progressive unilateral foot drop. A contrast magnetic resonance imaging of the pelvic girdle and the lumbosacral plexus revealed a diffuse fusiform thickening of the right lumbosacral trunk and the sciatic nerve in the intrapelvic and gluteal regions, with findings characteristic of a choristoma.

A rare anomalous muscle in the popliteal region - a case report.

Anomalous muscles are rarely seen in the popliteal region of the lower limb. Some of them are harmless and go unnoticed and some create problems such as neuropathies. We report a novel case of an unusual additional muscle in this region.

Great Saphenous Vein Arterialization in Patients with Severe Chronic Limb Threatening Ischemia: A Last Resort for Limb Salvage.

Background: In one-fifth of patients with chronic limb-threatening ischemia, there are no revascularization options. In those cases, venous arterialization could be a last resort for limb salvage. This study examines the clinical outcome of 17 patients with nonhealing wounds (Fontaine 4), who underwent great saphenous vein (GSV) arterialization, leaving the distal saphenous side branches open and avoiding incisions in the lower leg and foot.

Promising predictors of diabetic peripheral neuropathy in children and adolescents with type 1 diabetes mellitus.

Background: Diabetic peripheral neuropathy (DPN) in children and adolescents with type 1 diabetes mellitus (T1DM) is a growing issue, with controversial data in the terms of prevalence and evaluation timelines. Currently, there are no clear standards for its early detection. Therefore, our aim was to assess the contribution of the Michigan neuropathy screening instrument (MNSI), lipid profile, serum neuron specific enolase (NSE), and serum heat shock protein 27 (HSP 27) to the prediction of DPN in children and adolescents with T1DM.

Muscular dystrophy as a cause of unilateral scapular winging.

Shoulder weakness with unilateral scapular winging is a common issue that initially presents to the general physician, sports physician or rheumatologist. Although most of these cases are neurogenic in nature, it is important to consider alternative causes for unilateral scapular winging. Muscular dystrophies can present with marked asymmetry, the most typical being facioscapulohumeral dystrophy (FSHD).

Severe vascular complications after derotational osteotomy of the tibia salvaged with free functional latissimus dorsi muscle transfer. A case report.

We present a case study of a 26-year-old male who sustained severe vascular and neurogenic injury during derotational osteotomy of the tibia. Directly postoperatively he complained of a drop foot, but 3 days later presented with an ischemic compartment syndrome of the anterior and lateral compartments. After debridement the osteotomy and metalware were exposed and the patient had a drop foot.

Evidence of invariant lower-limb kinematics in anticipation of ground contact during drop-landing and drop-jumping.

Gravity is a ubiquitous external force that must be considered when producing coordinated movements. Drop-landing is a popular task to study how humans cope with gravity, because anticipatory muscle activations can be released before the estimated ground contact. But the consequences of these anticipatory muscle activations have only been interpreted in terms of stiffening the lower-limbs in preparation for ground contact, without considering potential anticipatory kinematic consequences.

Effects of foot orthoses application during walking on lower limb joint angles and moments in adults with flat Feet: A systematic review with Meta-Analysis.

This systematic review with meta-analysis aimed to investigate the effects of foot orthoses (FO) application on lower limb joint angles and moments in adults with flexible flat-feet during walking. The following five databases were systematically searched from inception until March 2024: Scopus, PubMed, EMBASE, PEDro, and Cochrane Central Register of Controlled Trials (CENTRAL). Between-group standardized mean differences (SMDs) with 95% confidence intervals were computed using a random-effects model.

Bortezomib-induced neuropathy in multiple myeloma manifesting as foot drop due to peroneal nerve palsy.

We present the case of a man in his 50s with multiple myeloma who developed foot drop after receiving bortezomib-dexamethasone combination chemotherapy. Diagnostic evaluations, including haematological parameters, nerve conduction studies and imaging, were performed to confirm the diagnosis and assess the extent of neuropathy. He was managed conservatively with analgesics and vitamin supplements, and bortezomib was temporarily withheld.

Implications of neuromuscular electrical stimulation on gait ability, balance and kinematic parameters after stroke: a systematic review and meta-analysis.

Introductin: Improper gait patterns, impaired balance and foot drop consistently plague stroke survivors, preventing them from walking independently and safely. Neuromuscular electrical stimulation (NMES) technology can help patients reactivate their muscles and regain motor coordination. This study aims to systematically review and summarize the evidence for the potential benefits of NMES on the improvement of gait patterns after stroke.

Giant Meningioma Diagnosis and Clinical Treatment: A Case Report.

This case report shows the importance of semiology during a clinical examination not only to diagnose spine clinical symptoms but also to review the central nervous system tumor as a foot drop cause. We report a unique case of a patient who consulted for constant progressive numbness and motor symptoms in the right lower extremity. Lumbar CT and MRI were negative for acute or chronic lumbar pathology.