Peroneal nerve palsy after early cast application for femoral fractures in children

Arnold Peter C Weiss, Robert C. Schenck, Paul David Sponseller, J. David Thompson

Research output: Contribution to journalArticle

Abstract

The incidence and contributing factors associated with postcasting peroneal nerve palsy were examined in a series of 110 consecutive pediatric femoral shaft fractures treated with early hip spica cast application. Four patients with peroneal nerve palsy were identified. All four had 90°/90° casts placed and underwent cast wedging for alignment. All palsies resolved with immediate cast removal. Other treatment options for certain femur fractures with significant initial shortening should be considered. We advise pre and postcast neurologic examination and avoidance of forceful distraction. Fracture manipulation, through wedging, should be delayed.

Original languageEnglish (US)
Pages (from-to)25-28
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume12
Issue number1
StatePublished - 1992

Fingerprint

Peroneal Nerve
Femoral Fractures
Paralysis
Neurologic Examination
Femur
Hip
Pediatrics
Incidence
Therapeutics

Keywords

  • Femur fracture
  • Nerve palsy
  • Peroneal nerve
  • Spica casting

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Peroneal nerve palsy after early cast application for femoral fractures in children. / Weiss, Arnold Peter C; Schenck, Robert C.; Sponseller, Paul David; Thompson, J. David.

In: Journal of Pediatric Orthopaedics, Vol. 12, No. 1, 1992, p. 25-28.

Research output: Contribution to journalArticle

Weiss, Arnold Peter C ; Schenck, Robert C. ; Sponseller, Paul David ; Thompson, J. David. / Peroneal nerve palsy after early cast application for femoral fractures in children. In: Journal of Pediatric Orthopaedics. 1992 ; Vol. 12, No. 1. pp. 25-28.
@article{dbd473ded63d4f7aaa66adb0cf2da41d,
title = "Peroneal nerve palsy after early cast application for femoral fractures in children",
abstract = "The incidence and contributing factors associated with postcasting peroneal nerve palsy were examined in a series of 110 consecutive pediatric femoral shaft fractures treated with early hip spica cast application. Four patients with peroneal nerve palsy were identified. All four had 90°/90° casts placed and underwent cast wedging for alignment. All palsies resolved with immediate cast removal. Other treatment options for certain femur fractures with significant initial shortening should be considered. We advise pre and postcast neurologic examination and avoidance of forceful distraction. Fracture manipulation, through wedging, should be delayed.",
keywords = "Femur fracture, Nerve palsy, Peroneal nerve, Spica casting",
author = "Weiss, {Arnold Peter C} and Schenck, {Robert C.} and Sponseller, {Paul David} and Thompson, {J. David}",
year = "1992",
language = "English (US)",
volume = "12",
pages = "25--28",
journal = "Journal of Pediatric Orthopaedics",
issn = "0271-6798",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Peroneal nerve palsy after early cast application for femoral fractures in children

AU - Weiss, Arnold Peter C

AU - Schenck, Robert C.

AU - Sponseller, Paul David

AU - Thompson, J. David

PY - 1992

Y1 - 1992

N2 - The incidence and contributing factors associated with postcasting peroneal nerve palsy were examined in a series of 110 consecutive pediatric femoral shaft fractures treated with early hip spica cast application. Four patients with peroneal nerve palsy were identified. All four had 90°/90° casts placed and underwent cast wedging for alignment. All palsies resolved with immediate cast removal. Other treatment options for certain femur fractures with significant initial shortening should be considered. We advise pre and postcast neurologic examination and avoidance of forceful distraction. Fracture manipulation, through wedging, should be delayed.

AB - The incidence and contributing factors associated with postcasting peroneal nerve palsy were examined in a series of 110 consecutive pediatric femoral shaft fractures treated with early hip spica cast application. Four patients with peroneal nerve palsy were identified. All four had 90°/90° casts placed and underwent cast wedging for alignment. All palsies resolved with immediate cast removal. Other treatment options for certain femur fractures with significant initial shortening should be considered. We advise pre and postcast neurologic examination and avoidance of forceful distraction. Fracture manipulation, through wedging, should be delayed.

KW - Femur fracture

KW - Nerve palsy

KW - Peroneal nerve

KW - Spica casting

UR - http://www.scopus.com/inward/record.url?scp=0026544205&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026544205&partnerID=8YFLogxK

M3 - Article

C2 - 1732291

AN - SCOPUS:0026544205

VL - 12

SP - 25

EP - 28

JO - Journal of Pediatric Orthopaedics

JF - Journal of Pediatric Orthopaedics

SN - 0271-6798

IS - 1

ER -