Deep peroneal neuropathy induced by prolonged squatting: a case report
Hyun-Seok Jo1, Ki-Hong Kim2, Min-Keun Song2
1Department of Physical and Rehabilitation Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Frontiers in Neuroanatomy
|October 24, 2024
Summary
Prolonged squatting can cause deep peroneal neuropathy, a condition previously unreported. Ultrasonography aided in diagnosing this nerve injury in a tile installer, highlighting the imaging technique's diagnostic value.
Area of Science:
- Neurology
- Musculoskeletal Disorders
- Diagnostic Imaging
Background:
- Prolonged squatting is a known cause of common peroneal neuropathy.
- Compression typically occurs between the biceps femoris tendon and surrounding muscles or the fibular head.
- Deep peroneal neuropathy from squatting has not been previously documented.
Purpose of the Study:
- To report a case of deep peroneal neuropathy resulting from prolonged squatting.
- To highlight the diagnostic utility of ultrasonography in such cases.
Main Methods:
- Case presentation of a tile installer with unilateral deep peroneal neuropathy.
- Diagnosis confirmed via ultrasonography.
- Ultrasonography identified bilateral division of common peroneal nerves.
Main Results:
- The patient developed unilateral deep peroneal neuropathy after extended squatting.
- Ultrasonography revealed the specific nerve division pattern.
- Diagnostic findings were crucial when electrodiagnostic results were atypical.
Conclusions:
- This case represents the first report of deep peroneal neuropathy linked to prolonged squatting.
- Ultrasonography is a valuable tool for diagnosing peroneal nerve injuries, especially when electrodiagnostic findings are inconclusive.
- Awareness of this association is important for clinicians evaluating nerve injuries in individuals with occupational risk factors.
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