Unilateral compressive peroneal neuropathy in intensive care settings during the COVID-19 pandemic: a series of three cases

KavithaAndiappan and Khin Nyein Yin and Muhamad Faizal Zainudin (2024) Unilateral compressive peroneal neuropathy in intensive care settings during the COVID-19 pandemic: a series of three cases. Cureus, 16. pp. 1-6. ISSN 2168-8184

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Abstract

Peroneal nerve entrapment, typically associated with behaviors like cross-legged sitting or squatting, can also occur from extended periods of lying down where the lower limbs usually assume a position of hip external rotation and knee flexion. In such positions, the fibular head's prominence can exert sustained pressure on the peroneal nerve. We report three cases of unilateral peroneal neuropathy in intensive care unit (ICU) patients during the coronavirus disease (COVID-19) pandemic, highlighting the possible role of prolonged supine or lateral decubitus positions in the development of this condition. Electrophysiological studies confirmed peroneal nerve palsy in all cases, with two patients achieving full recovery, while the third required a permanent ankle foot orthosis for mobility due to a lack of neurological recovery. The COVID-19 pandemic has challenged ideal nursing care, including in ICU settings, leading to suboptimal nursing care standards and compromised frequent positioning regimes.

Item Type: Article
Keyword: Nerve entrapment, patient positioning, peroneal nerve paralysis, peroneal neuropathies, peroneal nerve
Subjects: R Medicine > RC Internal medicine > RC31-1245 Internal medicine
R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC925-935 Diseases of the musculoskeletal system
Department: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: ABDULLAH BIN SABUDIN -
Date Deposited: 02 May 2025 11:18
Last Modified: 02 May 2025 11:18
URI: https://eprints.ums.edu.my/id/eprint/43715

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