deep peroneal nerve...toe drop?
Derek
Description
Collection
Title:
deep peroneal nerve...toe drop?
Creator:
Derek
Date:
1/15/2003
Text:
Hello,
Just had a really unique case in the office and am looking for ideas.
This lady has had an injury to her deep peroneal nerve. She was chasing
her cat through the backyard, tripped, and fell on some newly trimmed
bushes, and she snapped off a branch (sapling) in her shin. Initially
she had complete flaccid foot drop, however that returned within a month
or so. She has been left with complete weakness of her extensors in
only her great toe! In all other toes, flexors and extensors are
normal.
Her main complaint is that when donning shoes, this great toe gets
curled under (just a pain in the butt), and when walking barefoot she
will drag the toe, and sometimes trip (no problems like this when
wearing shoes). She was sent to us looking for ideas.
Initially we are going to try to stitch an elastic band (1/2) to her
socks, running the length of the sock, so that when she slips her foot
in the shoe she can tug on it to keep the toe dorsiflexed. We are also
going to reduce the friction in her shoe so that she will slide in
easier. We may also look at a FO with a Morton's extension.she does
have some underlying mechanical alignment issues, but they are not the
main concern.
She has tried taping the great toe to the second toe.uncomfortable and
didn't really help.
Any ideas? Input would be appreciated.
Thanks,
Derek Kozar, M.Sc., C.O.(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor, Inc.
410-3200 Deziel Dr.
Windsor, ON
N8W 5K8
(519) 944-8340 Phone
(519) 944 8360 Fax
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Just had a really unique case in the office and am looking for ideas.
This lady has had an injury to her deep peroneal nerve. She was chasing
her cat through the backyard, tripped, and fell on some newly trimmed
bushes, and she snapped off a branch (sapling) in her shin. Initially
she had complete flaccid foot drop, however that returned within a month
or so. She has been left with complete weakness of her extensors in
only her great toe! In all other toes, flexors and extensors are
normal.
Her main complaint is that when donning shoes, this great toe gets
curled under (just a pain in the butt), and when walking barefoot she
will drag the toe, and sometimes trip (no problems like this when
wearing shoes). She was sent to us looking for ideas.
Initially we are going to try to stitch an elastic band (1/2) to her
socks, running the length of the sock, so that when she slips her foot
in the shoe she can tug on it to keep the toe dorsiflexed. We are also
going to reduce the friction in her shoe so that she will slide in
easier. We may also look at a FO with a Morton's extension.she does
have some underlying mechanical alignment issues, but they are not the
main concern.
She has tried taping the great toe to the second toe.uncomfortable and
didn't really help.
Any ideas? Input would be appreciated.
Thanks,
Derek Kozar, M.Sc., C.O.(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor, Inc.
410-3200 Deziel Dr.
Windsor, ON
N8W 5K8
(519) 944-8340 Phone
(519) 944 8360 Fax
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affilliations should be used in all communications.
Citation
Derek, “deep peroneal nerve...toe drop?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/220332.
