Abstract:
BACKGROUND:Foot drop has been described as an infrequent complication from common peroneal nerve injury related to external compression and forceful knee flexion while pushing during vaginal delivery. Past recommendations include placing the hands at the posterior thighs rather than the legs to avoid this complication. CASE:A 32-year-old woman developed unilateral foot drop after vaginal delivery. Electromyography was diagnostic for an acute compression neuropathy of the common peroneal nerve above the knee. CONCLUSION:The patient's likely mechanism of injury occurred during delivery from external compression by the patient's dominant hand to the distal posterior thigh while under epidural anesthesia. Labor and delivery teams should be aware that nerve injury is also possible at the distal thigh with excessive external pressure.
journal_name
Obstet Gynecoljournal_title
Obstetrics and gynecologyauthors
Radawski MM,Strakowski JA,Johnson EWdoi
10.1097/AOG.0b013e31821dac98subject
Has Abstractpub_date
2011-08-01 00:00:00pages
421-423issue
2 Pt 2eissn
0029-7844issn
1873-233Xpii
00006250-201108001-00005journal_volume
118pub_type
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