Black Sea Journal of Health Science
Yazarlar: Fatma ŞİMŞEK
Konular:Tıp, Genel ve Dahili Tıp
DOI:10.19127/bshealthscience.859387
Anahtar Kelimeler:Drop foot,Ethiology,Peroneal neuropathy,Electromyography
Özet: The most common cause of drop foot is peroneal neuropathy, and there are many reasons in etiology. Foot drop markedly restricts the everyday activities of persons. In this study, the etiological, electrophysiological and prognostic features of the patients who applied to the neurology outpatient clinic in the Eastern Anatolia region with drop foot clinic was aimed to investigate. The data obtained from 80 patients over 18 years of age who were sent to the neurophysiology laboratory with a diagnosis of drop foot between December 2017 and October 2019, and confirmed by electroneuromyography were retrospectively analyzed. All the analyses were made using SPSS 20 software. Results; the age distribution of the patients with drop foot diagnosis was similar between the genders (P=0.718). In etiology there were 31.25% (n=25) injection, 18.75% (n=15) cutter/perforator/gunshot injury, 16.25% (n=13) radiculopathy, 12.5% (n=10) bone fracture, 8.75% (n=7) surgical complication, 5% (n=4) idiopathic, 2.5% (n=2) hereditary, 2.5% (n=2) metastasis, 2.5% (n=2) weight loss-squat. When nerve activation was examined, 86.3% (n=80) of patients (n=69) had peroneal nerve damage, 58.8% (n=47) had tibial nerve damage and 57.5% (n=46) had sural nerve damage. In terms of gender, peroneal nerve damage was 78.6% (n=22) in female and 90.4% (n=47) in male Tibial nerve damage was 64.3% (n=18) in women, 55.7% (n=29) in men. Sural nerve damage was 50% (n=14) in women, 61.5% (n=32) in men. There was a statistically significant difference among causes off according to gender (P=0.001). Consequently, a comprehensive search for the cause of the patient’s drop foot, including all possibilities of injury to the neuromuscular pathway, should be undertaken. After diagnosis, drop foot should be treated with a multidisciplinary approach including all relevant specialists.