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Peroneal nerve palsy after compression stockings application.
Jun Hyun Kim1, Won Il Kim1, Ji Yeon Kim1
1Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea.
Saudi Journal of Anaesthesia
|November 12, 2016
Summary
Compression stockings can cause peroneal nerve palsy, especially in cardiac surgery patients. Careful application is crucial to prevent nerve injury and foot drop.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Peroneal nerve palsy presents with diverse etiologies.
- Deep vein thrombosis prophylaxis is standard post-cardiac surgery.
Observation:
- A 64-year-old male developed unilateral peroneal nerve palsy after knee-high compression stockings were applied post-off-pump coronary artery bypass graft.
- The patient experienced numbness and subsequently foot drop in the left leg after wearing the stocking for 8 hours.
Findings:
- Manual muscle testing confirmed 0/5 strength in ankle dorsiflexion, eversion, and toe extension.
- Sensory examination revealed a 70% decrease in the anterolateral lower leg, foot dorsum, and toes.
- Symptoms of foot drop and sensory deficit resolved within three weeks.
Implications:
- Cardiac surgery patients possess inherent risk factors for peripheral neuropathy.
- Clinicians must exercise caution when applying compression stockings to mitigate the risk of iatrogenic peroneal nerve palsy.
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