Acute common peroneal neuropathy due to hand positioning in normal labor and delivery.

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 Gynecol

authors

Radawski MM,Strakowski JA,Johnson EW

doi

10.1097/AOG.0b013e31821dac98

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

421-423

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201108001-00005

journal_volume

118

pub_type

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