A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation

Verfasser / Beitragende:
[Jarret Woodmass, Nicholas Romatowski, John Esposito, Nicholas Mohtadi, Peter Longino]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2992-3002
Format:
Artikel (online)
ID: 605458340
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024 7 0 |a 10.1007/s00167-015-3676-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3676-7 
245 0 2 |a A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation  |h [Elektronische Daten]  |c [Jarret Woodmass, Nicholas Romatowski, John Esposito, Nicholas Mohtadi, Peter Longino] 
520 3 |a Purpose: A common peroneal nerve (CPN) palsy has been reported to complicate knee dislocations in 5-40% of patients. Patients who suffer from a persistent foot drop have significantly worse functional outcomes. Reports on prognostic factors for nerve recovery or treatment-specific functional outcomes remain sparse in the literature. Methods: Two independent reviewers completed a search of Medline, Embase, PubMed and the Cochrane Library from 1946 to present. Motor strength was determined using the Medical Research Council (MRC) grading system or an equivalent description. A functional recovery was defined as an MRC ≥3/5. Results: The combined search of Medline, Embase, PubMed and the Cochrane Library identified 1528 abstracts. Thirteen articles met our inclusion/exclusion criteria. This included 214 CPN palsies. Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4%. Full recovery (MRC=5/5) following partial CPN palsy was 87.3%. Younger age was predictive of neurologic recovery. Recovery following isolated neurologic interventions ranged from 0 to 30%. Conclusions: A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while <40% of patients with a complete motor palsy will regain the ability to dorsiflex at the ankle. While neurologic interventions show promise for the future, the outcomes in knee dislocation patients remain poor. The most predictable means of reestablishing antigravity dorsiflexion in a persistent CPN palsy is a posterior tibial tendon transfer. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Peroneal nerve  |2 nationallicence 
690 7 |a Knee  |2 nationallicence 
690 7 |a Dislocation  |2 nationallicence 
690 7 |a Multi-ligamentous  |2 nationallicence 
690 7 |a Neuropathy  |2 nationallicence 
700 1 |a Woodmass  |D Jarret  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
700 1 |a Romatowski  |D Nicholas  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
700 1 |a Esposito  |D John  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
700 1 |a Mohtadi  |D Nicholas  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
700 1 |a Longino  |D Peter  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2992-3002  |x 0942-2056  |q 23:10<2992  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3676-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3676-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Woodmass  |D Jarret  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Romatowski  |D Nicholas  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Esposito  |D John  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mohtadi  |D Nicholas  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Longino  |D Peter  |u Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2992-3002  |x 0942-2056  |q 23:10<2992  |1 2015  |2 23  |o 167