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Peroneal nerve palsy after ankle sprain: an update
Evanthia Mitsiokapa1, Andreas F Mavrogenis2, Dionysis Drakopoulos3
1First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, 15562, Holargos, Athens, Greece.
Summary
Peroneal nerve palsy is a rare but possible complication of ankle sprains. Early evaluation of peroneal nerve function is crucial, even with normal initial neurological status, due to potential delayed onset.
Area of Science:
- Orthopedics
- Neurology
- Sports Medicine
Background:
- Ankle sprains are highly prevalent in both the general population and athletes.
- Peroneal nerve palsy is an uncommon but potential complication of ankle sprains.
- The precise incidence of peroneal nerve injury following ankle sprains remains undetermined.
Purpose of the Study:
- To review the incidence, pathophysiology, evaluation, diagnosis, and management of peroneal nerve palsy after ankle sprain.
- To enhance physician awareness of this potential nerve injury.
- To emphasize the importance of evaluating peroneal nerve function in patients with ankle sprains.
Main Methods:
- Literature review on peroneal nerve palsy associated with ankle sprains.
- Discussion of diagnostic criteria and differential diagnoses.
- Outline of recommended management strategies.
Main Results:
- Few cases of peroneal nerve palsy linked to ankle sprains have been documented.
- Delayed onset of peroneal nerve palsy is possible, necessitating ongoing evaluation.
- Comprehensive assessment including neurological status is vital.
Conclusions:
- Peroneal nerve palsy can occur concurrently with ankle sprains, though rarely.
- Regular assessment of peroneal nerve function is recommended for all inversion ankle sprain patients.
- Increased physician awareness is key for timely diagnosis and effective management of this condition.
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