A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation
| Autor: | Jarret M. Woodmass, Nicholas G. H. Mohtadi, Nicholas P J Romatowski, John G Esposito, Peter David Longino |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Foot drop Palsy Knee Dislocation business.industry MEDLINE Age Factors Recovery of Function Cochrane Library Prognosis Surgery Physical medicine and rehabilitation medicine.anatomical_structure Orthopedic surgery medicine Humans Orthopedics and Sports Medicine Ankle medicine.symptom business Peroneal Neuropathies Common peroneal nerve |
| Zdroj: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 23(10) |
| ISSN: | 1433-7347 |
| Popis: | A common peroneal nerve (CPN) palsy has been reported to complicate knee dislocations in 5–40 % of patients. Patients who suffer from a persistent foot drop have significantly worse functional outcomes. Reports on prognostic factors for nerve recovery or treatment-specific functional outcomes remain sparse in the literature. Two independent reviewers completed a search of Medline, Embase, PubMed and the Cochrane Library from 1946 to present. Motor strength was determined using the Medical Research Council (MRC) grading system or an equivalent description. A functional recovery was defined as an MRC ≥3/5. The combined search of Medline, Embase, PubMed and the Cochrane Library identified 1528 abstracts. Thirteen articles met our inclusion/exclusion criteria. This included 214 CPN palsies. Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4 %. Full recovery (MRC = 5/5) following partial CPN palsy was 87.3 %. Younger age was predictive of neurologic recovery. Recovery following isolated neurologic interventions ranged from 0 to 30 %. A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while |
| Databáze: | OpenAIRE |
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