Peroneal palsy in polytraumatised patient – Case study

Abstract text (incl. references and figure legends)

Case history A 24-year-old female was hit by a car. The patient was brought to our emergency department by an ambulance vehicle. Clinical findings The pacient was conscious and could communicate with normal vital signs. After the primary survey the patient was declared stable. Investigation/Results/Diagnosis: The CT scan showed minor pneumothorax and the X rays showed humeral shaft fracture on the left humerus, platotibial fracture on the right side, bimalleolar ankle fracture of the right ankle and fracture of the proximal left fibula [2]. Therapy and progressions Two days after admition in the ICU, an ORIF was performed .Two days later, CT scan of the chest and abdomen with IV contrast was perforemed and it showed pleural effusion with partial atelectasis on the left lung.The next days in the ICU went well and the patient was sent to the hospital depatment at the University clinic of Traumatology.Three days later was discharged. On the day of check up the immobilisation was removed and she could not make a dorsal flexion of the left foot. She was told to obtain a neurology and neurosurgeon consult. Two monts later she underwent adhesiolosis and transposition surgery of the peroneal nerve and was sent to physical therapy. Comments The involvement of the peroneal nerve is mainly caused by the compression or traction of the nerve[3]. Prognosis depends primarily on the severity of the initial nerve injury[1]. References 1. Popa et al., Medical management and rehabilitation in posttraumatic common peroneal nerve palsy,Balneo and PRM Research Journal 2022, 13(1): 496 2. Lezak B, Massel DH,Varacallo M. Peroneal Nerve Injury.[Updated 2022 May 8]. In: StatPearls [Internet].Treasure Island (FL) 3. Common peroneal nerve palsy with fibula head fracture: Case report Kazuaki Sonofuchi, Shingo Nobuta, Taku Hatta, Katsumi Sato, Eiji Itoi-Tohoku University School of Medicine, Sendai, Japan 4. https://www.hopkinsmedicine.org/health/conditions-and-diseases/peroneal-nerve-injury

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