Examining the Anatomy, Pathophysiology, and Clinical Presentation of Lower Extremity Neurologic Deficits: A Spine Surgeon's Guide to Foot Drop.
Publication/Presentation Date
12-27-2024
Abstract
Foot drop is relatively common and can be a notable source of patient dissatisfaction and even potential litigation. For the spine surgeon evaluating such a patient, the natural inclination is to investigate a spinal etiology; however, foot drop can develop from a multitude of distinct insults along several locations, extending from the cerebral cortex to the leg musculature itself. In-depth understanding of the relevant anatomy implicated in foot drop, as well as the pathologies that may impede those structures, is paramount to expanding a surgeon's differential diagnosis. Specific physical examination findings and diagnostic tests can further delineate the etiology of a patient's foot drop, guide treatment options, and help determine a patient's prognosis. Finally, clinical cases highlight how the application of a thorough grasp of relevant anatomy, a comprehensive physical examination, and appropriate diagnostic studies can accurately localize foot drop and enhance clinical decision making.
Volume
33
Issue
18
First Page
1060
Last Page
1060
ISSN
1940-5480
Published In/Presented At
Swiatek, P., Giakas, A. M., Narayanan, R., Dalton, J., & Vaccaro, A. R. (2024). Examining the Anatomy, Pathophysiology, and Clinical Presentation of Lower Extremity Neurologic Deficits: A Spine Surgeon's Guide to Foot Drop. The Journal of the American Academy of Orthopaedic Surgeons, 33(18), e1060–e1071. https://doi.org/10.5435/JAAOS-D-24-00705
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
40911727
Department(s)
Administration and Leadership
Document Type
Article