z-logo
open-access-imgOpen Access
Peroneal nerve palsy after compression stockings application
Author(s) -
JunHyun Kim,
Won Il Kim,
Ji Yeon Kim,
Won Joo Choe
Publication year - 2016
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.177328
Subject(s) - medicine , surgery , foot drop , ankle , compression stockings , intermittent pneumatic compression , foot (prosody) , sensory loss , saphenous nerve , palsy , deep vein , anesthesia , thrombosis , linguistics , philosophy , alternative medicine , pathology
Peroneal nerve palsy can be caused by various etiology. We report unilateral peroneal nerve palsy after compression stockings application. A 64-year-old man underwent off-pump coronary bypass graft. Surgeon did not use saphenous vein for the bypass graft. Sedation was stopped after 3 h postoperative. After 16 h, for prophylaxis of deep vein thrombosis, knee-high elastic stocking was applied. After 1 h, he took off right stocking because of numbness but left stocking was kept. After 24 h postoperative, (8 h after stocking application) patient complained suddenly left foot drop. Manual muscle test revealed 0/5 of ankle dorsiflexion, ankle eversion, and toe extension. Sensory was decreased to 70% in lower half of anterolateral aspect of tibia, foot dorsum, and toes. Foot drop and sensory abnormality decreased in 3 weeks. Cardiac surgery patients already have many risk factors for peripheral neuropathy. Clinicians should be careful when applying stockings on those patients.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here