A case of peroneal neuropathy-induced footdrop. Correlated and compensatory lower-extremity function

TC Vlahovic Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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CE Ribeiro Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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BM Lamm Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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JA Denmark Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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RG Walters Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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T Talbert Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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S Penugonda Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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JA Furmato Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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DJ Brower Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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J McMahon Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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S Bhimji Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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HJ Hillstrom Temple University School of Podiatric Medicine, Philadelphia, PA, USA.

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This article reports on the case of a man with peroneal neuropathy-induced footdrop who was seen at the authors' institution 3 years after open reduction and internal fixation of a proximal fibular fracture and a distal, spiral, oblique tibial fracture of the right leg. A comprehensive gait analysis was conducted. A significant footdrop in gait resulted in a "reverse check mark" center-of-pressure pattern, an increased transverse-plane rotation of the foot, and excessive knee and hip flexion in the sagittal plane. These objective findings documented significant dysfunction within the involved lower extremity; in addition, aberrant biomechanics were observed in structures other than the site of initial injury within both limbs.

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