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Case Report 


Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report

Senthil Kumar Subramanian, Satish P Dipankar, Alex Rebello, Amudharaj Dharmalingam, Rajathi Rajendran.

Abstract
Peroneal neuropathy is the common mononeuropathy of the lower extremities in adults. The documented etiologies for peroneal nerve injury include trauma, traction, and external compression. Fibular neck is the most common site of common peroneal nerve (CPN) injury as the nerve lies superficial and vulnerable for injury. A 50-year-old male presented with foot drop in his left leg after working in squatting position for prolonged hours along with sensory disturbance in dorsum of left foot. Clinical examination showed poor dorsiflexion in both side ankle with preserved plantar flexion. Electrophysiological findings locate the site of lesion to be CPN at the level of fibular neck. We conclude that CPN is injured due to knee flexion in farmers repeatedly squatting for long hours. Superficial peroneal nerve may be spared due to their interfascicular arrangement at the level of fibular neck placing deep peroneal nerve near the fibula making them more susceptible to compression type of injury. Peroneal nerve may be damaged at multiple sites including ankle. The condition can be reversed with conservative treatment, primarily by avoiding the precipitating position.

Key words: Common Peroneal Nerve Injury; Foot Drop; Prolonged Squatting


 
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How to Cite this Article
Pubmed Style

Subramanian SK, Dipankar SP, Rebello A, Dharmalingam A, Rajendran R. Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. Natl J Physiol Pharm Pharmacol. 2023; 13(1): 218-223. doi:10.5455/njppp.2023.13.04178202203062022

Web Style

Subramanian SK, Dipankar SP, Rebello A, Dharmalingam A, Rajendran R. Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. https://www.njppp.com/?mno=18570 [Access: September 06, 2023]. doi:10.5455/njppp.2023.13.04178202203062022

AMA (American Medical Association) Style

Subramanian SK, Dipankar SP, Rebello A, Dharmalingam A, Rajendran R. Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. Natl J Physiol Pharm Pharmacol. 2023; 13(1): 218-223. doi:10.5455/njppp.2023.13.04178202203062022


Vancouver/ICMJE Style

Subramanian SK, Dipankar SP, Rebello A, Dharmalingam A, Rajendran R. Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. Natl J Physiol Pharm Pharmacol. (2023), [cited September 06, 2023]; 13(1): 218-223. doi:10.5455/njppp.2023.13.04178202203062022


Harvard Style

Subramanian, S. K., Dipankar, . S. P., Rebello, . A., Dharmalingam, . A. & Rajendran, . R. (2023) Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. Natl J Physiol Pharm Pharmacol, 13 (1), 218-223. doi:10.5455/njppp.2023.13.04178202203062022


Turabian Style

Subramanian, Senthil Kumar, Satish P Dipankar, Alex Rebello, Amudharaj Dharmalingam, and Rajathi Rajendran. 2023. Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. National Journal of Physiology, Pharmacy and Pharmacology, 13 (1), 218-223. doi:10.5455/njppp.2023.13.04178202203062022


Chicago Style

Subramanian, Senthil Kumar, Satish P Dipankar, Alex Rebello, Amudharaj Dharmalingam, and Rajathi Rajendran. "Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report." National Journal of Physiology, Pharmacy and Pharmacology 13 (2023), 218-223. doi:10.5455/njppp.2023.13.04178202203062022


MLA (The Modern Language Association) Style

Subramanian, Senthil Kumar, Satish P Dipankar, Alex Rebello, Amudharaj Dharmalingam, and Rajathi Rajendran. "Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report." National Journal of Physiology, Pharmacy and Pharmacology 13.1 (2023), 218-223. Print. doi:10.5455/njppp.2023.13.04178202203062022


APA (American Psychological Association) Style

Subramanian, S. K., Dipankar, . S. P., Rebello, . A., Dharmalingam, . A. & Rajendran, . R. (2023) Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report. National Journal of Physiology, Pharmacy and Pharmacology, 13 (1), 218-223. doi:10.5455/njppp.2023.13.04178202203062022


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