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    Foot Drop

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    Yayang Minansal
    Drop foot, or foot drop, is defined as the inability to lift the front part of the foot. It is typically caused by damage to the common peroneal nerve, which innervates muscles that dorsiflex and evert the foot. The common peroneal nerve arises from nerve roots L4, L5, S1, and S2 and passes behind the head of the fibula in the leg. Damage to the nerve results in weakness of dorsiflexion and eversion of the foot and toes. Patients with drop foot exhibit difficulty lifting the foot, dragging of the toes, and use of a high stepping gait to compensate.

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    Foot Drop

    Uploaded by

    Yayang Minansal
    78 views13 pages
    Drop foot, or foot drop, is defined as the inability to lift the front part of the foot. It is typically caused by damage to the common peroneal nerve, which innervates muscles that dorsiflex and evert the foot. The common peroneal nerve arises from nerve roots L4, L5, S1, and S2 and passes behind the head of the fibula in the leg. Damage to the nerve results in weakness of dorsiflexion and eversion of the foot and toes. Patients with drop foot exhibit difficulty lifting the foot, dragging of the toes, and use of a high stepping gait to compensate.

    Original Description:

    penyakit neurologi pada bagian kaki

    Original Title

    7. Foot Drop

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    Drop foot, or foot drop, is defined as the inability to lift the front part of the foot. It is typically caused by damage to the common peroneal nerve, which innervates muscles that dorsiflex and evert the foot. The common peroneal nerve arises from nerve roots L4, L5, S1, and S2 and passes behind the head of the fibula in the leg. Damage to the nerve results in weakness of dorsiflexion and eversion of the foot and toes. Patients with drop foot exhibit difficulty lifting the foot, dragging of the toes, and use of a high stepping gait to compensate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    78 views13 pages

    Foot Drop

    Uploaded by

    Yayang Minansal
    Drop foot, or foot drop, is defined as the inability to lift the front part of the foot. It is typically caused by damage to the common peroneal nerve, which innervates muscles that dorsiflex and evert the foot. The common peroneal nerve arises from nerve roots L4, L5, S1, and S2 and passes behind the head of the fibula in the leg. Damage to the nerve results in weakness of dorsiflexion and eversion of the foot and toes. Patients with drop foot exhibit difficulty lifting the foot, dragging of the toes, and use of a high stepping gait to compensate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 13

    Musculosceletal System 1

    DROP FOOT

    dr. Fitriah Handayani, M.Kes, Sp.N

    Medical Faculty
    Tadulako University
    2019
    2
    3
    4

    Branches of peroneal nerve


    5
    6
    FOOT DROP or DROP FOOT

    inability to lift the front part of the


    DEFINITION foot. It typically affects only one
    foot but can affect both feet.
    ANATOMY
    • Formed by: Axons from L4, L5, S1 & S2 roots
    • Course of axons
    • Through popliteal fossa: Separates from sciatic nerve in upper fossa
    • Behind head & along fibula: Covered only by skin & subcutaneous
    tissue
    • Behind peroneus longus muscle (fibular tunnel): In anterior
    compartment of leg
    • Emerge from fibular tunnel: Nerve divides into superficial & deep
    branches
    • Deep peroneal nerve passes through: Anterior tarsal tunnel
    • Divides into lateral and medial terminal branches
    • Lateral terminal branch: Supplies Extensor digitorum brevis &
    Extensor hallucis brevis
    • Medial terminal branch
    • Supplies adjacent sides of great & 2nd toes (92%)
    • Absent in 8%: Muscles supplied by Superficial peroneal nerve
    BRANCHES
    • Common peroneal in popliteal fossa: Sensory
    • Superficial (fibular) peroneal nerve
    • Motor
    • Peroneus brevis
    • Peroneus longus
    • Accessory deep peroneal branch: Innervates Extensor digitorum brevis
    • Cutaneous sensory
    • Lower leg: Anterolateral
    • Foot: Dorsum, except between 1st 2 toes
    • Medial & Intermediate dorsal cutaneous nerves of foot
    • Deep peroneal (fibular) nerve
    • Motor branches in leg
    • Tibialis anterior
    • Extensor hallucis & Extensor digitorum longus
    • Peroneus tertius: May be absent
    • Lateral terminal branch in foot
    • Extensor digitorum brevis
    • May also be innervated by accessory deep peroneal from superficial
    peroneal (28%)
    • Cutaneous: Skin between 1st & 2nd toes
    COMMON PERONEAL NERVE palsy

    • Foot: Dorsiflexion & Eversion of foot


    Weakness • Toes: Extension
    • Gait: Steppage

    • Foot: Dorsiflexion & Eversion of foot


    • Toes: Extension
    Sensory loss • Gait: Steppage

    Tendon reflexes: Normal


    Pain & Tinel's sign: Over lateral fibular neck
    11

    • Difficult in lifting the foot


    • Dragging the foot on the floor as one walks
    • Slapping the foot down with each step
    • Raising tigh while walking ( high stepping gait)
    • Pain, weakness, or numbness in the foot
    12
    13

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