Iatrogenic Needle-Induced Peroneal Neuropathy in the Foot
Authors: David Preston
Journal: Annals of Internal Medicine (1988)

Brief Reports1 December 1988Iatrogenic Needle-Induced Peroneal Neuropathy in the FootDavid Preston, MD, Eric Logigian, MDDavid Preston, MD, Eric Logigian, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-11-921 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAny peripheral nerve is potentially vulnerable to needle-induced injury during routine procedures such as phlebotomy, intravenous line placement, joint aspiration, or intramuscular injection. Neurologic sequelae can vary from minor motor or sensory abnormalities to complete paralysis or causalgia. The most commonly damaged nerves are the sciatic and the radial, as they are both in traditional areas for intramuscular injection (1). However, other nerves are also at risk, as shown in the following novel cases involving distal branches of the peroneal nerve, which, given their location, may be the most vulnerable nerves in the foot to be injured by needles used...References1. Sunderland S. Nerves and Nerve Injury. New York: Churchill Livingstone;1975:173-6. Google Scholar2. Izzo K, Sridhara C, Rosenholtz H, and Lemont H. Sensory conduction studies of the branches of the superficial peroneal nerve. Arch Phys Med Rehabil. 1981;62:24-7. MedlineGoogle Scholar3. Jabre J. The superficial peroneal nerve revisited. Arch Neurol. 1981;38:666-7. CrossrefMedlineGoogle Scholar4. Horowitz S. Iatrogenic causalgia: classification, clinical findings, and legal ramifications. Arch Neurol. 1984;41:821-4. CrossrefMedlineGoogle Scholar5. Selander D, Dhüner K, and Lunborg G. Peripheral nerve injury due to injection needles used for regional anesthesia: an experimental study of the acute effects of needle point trauma. Acta Anaesthesiol Scand. 1977;21:182-8. CrossrefMedlineGoogle Scholar6. Seddon H. Surgical Disorders of the Peripheral Nerves. New York: Churchill Livingstone;1975:135-7. Google Scholar7. Moore K. Clinically Oriented Anatomy. Baltimore:Williams and Wilkins;1980;513-7. Google Scholar8. Carrel J and Davidson D. Nerve compression syndromes of the foot and ankle: a comprehensive review of symptoms, etiology and diagnosis utilizing nerve conduction testing. J Am Podiatry Assoc. 1975;65:322-41. CrossrefMedlineGoogle Scholar9. Kopell H and Thompson W. Peripheral Entrapment Neuropathies. Huntington:Robert E. Krieger Publishing Company;1976:35-8. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: David Preston, MD; Eric Logigian, MDFrom the New England Medical Center, Boston, Massachusetts. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComplications Associated With ElectromyographyEnjeksiyon Sonrası Gelişen Nöropati: Komplikasyon/Malpraktis Ayrımında İnce Bir ÇizgiCompressive and Entrapment Neuropathies of the Lower ExtremityPrinciples of treatmentElectrical Safety and Iatrogenic Complications of Electrodiagnostic StudiesNerve Conduction Study of the Superficial Peroneal Sensory Distal Branches in KoreansPeripheral Intravenous AccessNeuropathies of the footChapter 41 Diseases of the nerves in the pelvic girdle and lower limbsPreventing sciatic nerve injury from intramuscular injections: literature reviewIatrogenic complications and risks of nerve conduction studies and needle electromyographyDistal sensory nerve conduction of the superficial peroneal nerve: New method and its clinical applicationNeurovascular Complications Resulting From Corticosteroid Injections 1 December 1988Volume 109, Issue 11 Page: 921-922 Keywords Intramuscular injections Nerves Neurology Neuropathy Paralysis Phlebotomy ePublished: 1 December 2008 Issue Published: 1 December 1988 PDF downloadLoading ...