Peroneal Palsy due to Long Term Lithotomy Position

Trapezoidal neuropathy of the peroneal nerve is the most common entrapment neuropathy in the lower extremity. Because of the anatomical progression, the external pressure is frequently exposed and the pressure is most often superficial, so the compression most often occurs at the head of the fibula. Other causes may include external compression, trauma, long-leg position, crouching. In addition, long-term lithotomy positioning for reasons such as normal delivery or curettage may rarely lead to external compression. In patients with weak muscles, low legs and walking difficulty may develop secondary. In the literature, the incidence of lower extremity sensory and motor dysfunction due to neurological impairment in obstetric cases ranges from 0.008% to 0.5%. In this article, the clinical evaluation, diagnosis and treatment planning of a case with a rare peroneal nerve entrapment due to prolonged lithotomy position during curettage has been discussed