Peroneal Nerve Injury

Presented by
Usman farooq
Student Doctor of Physical
Therapy

COMMON PERONEAL NERVE

The common peroneal nerve
branches from the sciatic nerve. It
includes the deep and superficial
peroneal branches. These nerves
provide sensation to the anterior
(front) and lateral (side) parts of the
legs and to the top of the feet. They
innervate muscles in the legs which
lift the ankle and toes upward (dorsi
flexion).

dermatomes

 Anatomy Formed by: Axons from L4, L5, S1 & S2 root

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%: Muslces supplied by Superficial

peroneal nerve
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 Branches
Common peroneal in popliteal fossa: Sensory
Superficial peroneal
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
Motor branches in leg
Tibialis anterior
Extensor hallucis & Extensor digitorum longus
Peroneus tertius

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

PERONEAL NERVE INJURY

peroneal nerve injury (also called
foot drop or drop foot), is a
peripheral nerve injury that affects a
patients ability to lift the foot at the
ankle.

A foot drop
Causes of peroneal nerve injury (foot drop)
Foot drop injury can be caused by an injury to the
spinal cord or
from other underlying diseases, such as
amyotrophic lateral sclerosis (ALS)
, multiple sclerosis (MS),
Parkinson's disease.
Sometimes, drop foot is a complication from hip
replacement surgery, or other injuries (e.g., knee
or joint dislocation or fracture, herniated disc).

 Symptoms of peroneal nerve injury (foot drop)

Symptoms of peroneal nerve injury (foot drop) may
include:
Inability to point toes toward the body (dorsi flexion)
Pain
Weakness
Numbness (on the shin or top of the foot)
Loss of function of foot
High-stepping walk (called steppage gait or
footdrop gait)

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THANK You

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Questions?

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