The Experts below are selected from a list of 1674 Experts worldwide ranked by ideXlab platform
Chris Creatura - One of the best experts on this subject based on the ideXlab platform.
-
Common Peroneal Neuropathy Secondary to Squatting during Childbirth
Obstetrics & Gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Abstract Background: Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. Case: A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15–30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Conclusion: Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.
-
Common Peroneal Neuropathy secondary to squatting during childbirth.
Obstetrics and gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15-30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.
Susan E. Mackinnon - One of the best experts on this subject based on the ideXlab platform.
-
Identifying Common Peroneal Neuropathy before Foot Drop.
Plastic and reconstructive surgery, 2020Co-Authors: Jana Dengler, Louis H. Poppler, Amelia C. Van Handel, Andrew Linkugel, Lauren Jacobson, Susan E. MackinnonAbstract:BACKGROUND Common Peroneal Neuropathy shares the same pathophysiology as carpal tunnel syndrome. However, management is often delayed because of the traditional misconception of recognizing foot drop as the defining symptom for diagnosis. The authors believe recognizing common Peroneal Neuropathy before foot drop can relieve pain and help improve quality of life. METHODS One hundred eighty-five patients who underwent surgical common Peroneal Neuropathy decompression between 2011 and 2017 were included. The mean follow-up time was 249 ± 28 days. Patients were classified into two stages of severity based on clinical presentation: pre-foot drop and overt foot drop. Demographics, presenting symptoms, clinical signs, electrodiagnostic studies and response to surgery were compared between these two groups. Multivariate regression analysis was used to identify variables that predicted outcome following surgery. RESULTS Overt foot drop patients presented with significantly lower preoperative motor function (percentage of patients with Medical Research Council grade ≤ 1: overt foot drop, 90 percent; pre-foot drop, 0 percent; p < 0.001). Pre-foot drop patients presented with a significantly higher preoperative pain visual analogue scale score (pre-foot drop, 6.2 ± 0.2; overt foot drop, 4.6 ± 0.3; p < 0.001) and normal electrodiagnostic studies (pre-foot drop, 31.4 percent; overt foot drop, 0.1 percent). Postoperatively, both groups of patients showed significant improvement in quality-of-life score (pre-foot drop, 2.6 ± 0.3; overt foot drop, 2.7 ± 0.3). Patients with obesity or a traumatic cause for common Peroneal Neuropathy were less likely to have improvements in quality of life after surgical decompression. CONCLUSION Increased recognition of common Peroneal Neuropathy can aid early management, relieve pain, and improve quality of life. CLINICAL QUESTION/LEVEL OF EVIDENCE Risk, II.
-
Subclinical Peroneal Neuropathy Affects Ambulatory, Community-Dwelling Adults and Is Associated with Falling.
Plastic and reconstructive surgery, 2020Co-Authors: Louis H. Poppler, Susan E. MackinnonAbstract:Background Peroneal Neuropathy with an overt foot drop is a known risk factor for falling. Subclinical Peroneal Neuropathy caused by compression at the fibular neck is subtler and does not have foot drop. A previous study found subclinical Peroneal Neuropathy in 31 percent of hospitalized patients. This was associated with having fallen. The purpose of this study was to determine the prevalence of subclinical Peroneal Neuropathy in ambulatory adults and investigate if it is associated with falling. Methods A cross-sectional study of 397 ambulatory adults presenting to outpatient clinics at a large academic hospital was conducted from 2016 to 2017. Patients were examined for dorsiflexion weakness and signs of localizing Peroneal nerve compression to the fibular neck. Fall risk was assessed with the Activities-Specific Balance Confidence Scale and self-reported history of falling. Multivariate logistic regression was used to correlate subclinical Peroneal Neuropathy with fall risk and a history of falls. Results The mean patient age was 54 ± 15 years and 248 patients (62 percent) were women. Thirteen patients (3.3 percent) were found to have subclinical Peroneal Neuropathy. After controlling for various factors known to increase fall risk, patients with subclinical Peroneal Neuropathy were 3.74 times (95 percent CI, 1.06 to 13.14) (p = 0.04) more likely to report having fallen multiple times in the past year than patients without subclinical Peroneal Neuropathy. Similarly, patients with subclinical Peroneal Neuropathy were 7.22 times (95 percent CI, 1.48 to 35.30) (p = 0.02) more likely to have an elevated fall risk on the Activities-Specific Balance Confidence fall risk scale. Conclusion Subclinical Peroneal Neuropathy affects 3.3 percent of adult outpatients and may predispose them to falling. Clinical question/level of evidence Risk, III.
Louis H. Poppler - One of the best experts on this subject based on the ideXlab platform.
-
Identifying Common Peroneal Neuropathy before Foot Drop.
Plastic and reconstructive surgery, 2020Co-Authors: Jana Dengler, Louis H. Poppler, Amelia C. Van Handel, Andrew Linkugel, Lauren Jacobson, Susan E. MackinnonAbstract:BACKGROUND Common Peroneal Neuropathy shares the same pathophysiology as carpal tunnel syndrome. However, management is often delayed because of the traditional misconception of recognizing foot drop as the defining symptom for diagnosis. The authors believe recognizing common Peroneal Neuropathy before foot drop can relieve pain and help improve quality of life. METHODS One hundred eighty-five patients who underwent surgical common Peroneal Neuropathy decompression between 2011 and 2017 were included. The mean follow-up time was 249 ± 28 days. Patients were classified into two stages of severity based on clinical presentation: pre-foot drop and overt foot drop. Demographics, presenting symptoms, clinical signs, electrodiagnostic studies and response to surgery were compared between these two groups. Multivariate regression analysis was used to identify variables that predicted outcome following surgery. RESULTS Overt foot drop patients presented with significantly lower preoperative motor function (percentage of patients with Medical Research Council grade ≤ 1: overt foot drop, 90 percent; pre-foot drop, 0 percent; p < 0.001). Pre-foot drop patients presented with a significantly higher preoperative pain visual analogue scale score (pre-foot drop, 6.2 ± 0.2; overt foot drop, 4.6 ± 0.3; p < 0.001) and normal electrodiagnostic studies (pre-foot drop, 31.4 percent; overt foot drop, 0.1 percent). Postoperatively, both groups of patients showed significant improvement in quality-of-life score (pre-foot drop, 2.6 ± 0.3; overt foot drop, 2.7 ± 0.3). Patients with obesity or a traumatic cause for common Peroneal Neuropathy were less likely to have improvements in quality of life after surgical decompression. CONCLUSION Increased recognition of common Peroneal Neuropathy can aid early management, relieve pain, and improve quality of life. CLINICAL QUESTION/LEVEL OF EVIDENCE Risk, II.
-
Subclinical Peroneal Neuropathy Affects Ambulatory, Community-Dwelling Adults and Is Associated with Falling.
Plastic and reconstructive surgery, 2020Co-Authors: Louis H. Poppler, Susan E. MackinnonAbstract:Background Peroneal Neuropathy with an overt foot drop is a known risk factor for falling. Subclinical Peroneal Neuropathy caused by compression at the fibular neck is subtler and does not have foot drop. A previous study found subclinical Peroneal Neuropathy in 31 percent of hospitalized patients. This was associated with having fallen. The purpose of this study was to determine the prevalence of subclinical Peroneal Neuropathy in ambulatory adults and investigate if it is associated with falling. Methods A cross-sectional study of 397 ambulatory adults presenting to outpatient clinics at a large academic hospital was conducted from 2016 to 2017. Patients were examined for dorsiflexion weakness and signs of localizing Peroneal nerve compression to the fibular neck. Fall risk was assessed with the Activities-Specific Balance Confidence Scale and self-reported history of falling. Multivariate logistic regression was used to correlate subclinical Peroneal Neuropathy with fall risk and a history of falls. Results The mean patient age was 54 ± 15 years and 248 patients (62 percent) were women. Thirteen patients (3.3 percent) were found to have subclinical Peroneal Neuropathy. After controlling for various factors known to increase fall risk, patients with subclinical Peroneal Neuropathy were 3.74 times (95 percent CI, 1.06 to 13.14) (p = 0.04) more likely to report having fallen multiple times in the past year than patients without subclinical Peroneal Neuropathy. Similarly, patients with subclinical Peroneal Neuropathy were 7.22 times (95 percent CI, 1.48 to 35.30) (p = 0.02) more likely to have an elevated fall risk on the Activities-Specific Balance Confidence fall risk scale. Conclusion Subclinical Peroneal Neuropathy affects 3.3 percent of adult outpatients and may predispose them to falling. Clinical question/level of evidence Risk, III.
-
Subclinical Peroneal Neuropathy: A Common, Unrecognized, and Preventable Finding Associated With a Recent History of Falling in Hospitalized Patients
Annals of family medicine, 2016Co-Authors: Louis H. Poppler, Andrew P Groves, Gina Sacks, Anchal Bansal, Kristen M. Davidge, Jenifer A. Sledge, Heidi Tymkew, Yan Yan, Jessica M. Hasak, Patricia PotterAbstract:PURPOSE Identification of modifiable risk factors for falling is paramount in reducing the incidence and morbidity of falling. Peroneal Neuropathy with an overt foot drop is a known risk factor for falling, but research into subclinical Peroneal Neuropathy (SCPN) resulting from compression at the fibular head is lacking. The purpose of our study was to determine the prevalence of SCPN in hospitalized patients and establish whether it is associated with a recent history of falling. METHODS We conducted a cross-sectional study of 100 medical inpatients at a large academic tertiary care hospital in St Louis, Missouri. General medical inpatients deemed at moderate to high risk for falling were enrolled in the summer of 2013. Patients were examined for findings that suggest Peroneal Neuropathy, fall risk, and a history of falling. Multivariate logistic regression was used to correlate SCPN with fall risk and a history of falls in the past year. RESULTS The mean patient age was 53 years (SD = 13 years), and 59 patients (59%) were female. Thirty-one patients had examination findings consistent with SCPN. After accounting for various confounding variables within a multivariate logistic regression model, patients with SCPN were 4.7 times (95% CI, 1.4–15.9) more likely to report having fallen 1 or more times in the past year. CONCLUSIONS Subclinical Peroneal Neuropathy is common in medical inpatients and is associated with a recent history of falling. Preventing or identifying SCPN in hospitalized patients provides an opportunity to modify activity and therapy, potentially reducing risk.
Marietta Babayev - One of the best experts on this subject based on the ideXlab platform.
-
Common Peroneal Neuropathy Secondary to Squatting during Childbirth
Obstetrics & Gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Abstract Background: Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. Case: A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15–30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Conclusion: Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.
-
Common Peroneal Neuropathy secondary to squatting during childbirth.
Obstetrics and gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15-30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.
Mark P Bodack - One of the best experts on this subject based on the ideXlab platform.
-
Common Peroneal Neuropathy Secondary to Squatting during Childbirth
Obstetrics & Gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Abstract Background: Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. Case: A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15–30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Conclusion: Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.
-
Common Peroneal Neuropathy secondary to squatting during childbirth.
Obstetrics and gynecology, 1998Co-Authors: Marietta Babayev, Mark P Bodack, Chris CreaturaAbstract:Common Peroneal Neuropathy occurs fairly frequently in the adult population; however, very few cases of Peroneal Neuropathy after prolonged squatting have been reported. A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15-30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common Peroneal Neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. Prolonged squatting should be minimized or avoided. A high index of suspicion for Peroneal Neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.