Orthopaedic complications of leprosy

Moonot, Pradeep; Ashwood, Neil; Lockwood, Diana N. J.

doi:10.1302/0301-620x.87b10.16596

Cited by 30 publications

(23 citation statements)

References 7 publications

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“…Foot drop due to paralysis of the anterior tibial and peroneal muscles is found in 2-5% of newly-diagnosed leprosy patients [11,17]. About 30% of patients have established nerve damage by the time of diagnosis of leprosy [8].…”

Section: Introductionmentioning

confidence: 99%

Tibialis posterior transfer by interosseous route for the correction of foot drop in leprosy

Shah

2009

International Orthopaedics (SICOT)

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This article summarises a prospective study to evaluate the long-term results produced by interosseous transfer of the tibialis posterior tendon for the correction of foot drop due to leprosy neuritis. The study was carried out in 120 feet in 69 patients. All patients had closed elongation of the tendo Achillis (ETA) before transfer of the bifurcated tibialis posterior tendon through the interosseous route to the tendons of tibialis anterior and peroneous tertius or brevis over the dorsum of feet. At final follow-up of average 24 months, all the patients with ETA had a significantly greater range of active dorsiflexion of more than 10 degrees above 90 degrees, which was not merely from the tenodesing effect. The results, in terms of improvement in gait and prevention of trophic changes, remained satisfactory. An interosseous route is preferred with split attachment to the tibialis anterior and to the peroneus brevis or tertius tendons.

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Section: Introductionmentioning

confidence: 99%

Tibialis posterior transfer by interosseous route for the correction of foot drop in leprosy

Shah

2009

International Orthopaedics (SICOT)

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“…Periostitis and osteitis usually involve the face and the small joints of the hands and feet. Secondary lesions arise from trauma and infections, most frequently affecting the toes, in particular the metatarsophalangeal joints and the distal parts of the proximal and middle phalanges . Although US cannot show pathologies inside bony tissues, it is capable of visualizing lesions of the periosteum and the cortex.…”

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confidence: 99%

“…Secondary lesions arise from trauma and infections, most frequently affecting the toes, in particular the metatarsophalangeal joints and the distal parts of the proximal and middle phalanges. 9 Although US cannot show pathologies inside bony tissues, it is capable of visualizing lesions of the periosteum and the cortex. As such, US can readily be used either for the diagnosis of relevant infections or for early/long-term postoperative follow-up in case amputation becomes necessary.…”

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confidence: 99%

Ultrasound imaging for the follow-up of patients with leprosy: a pictorial essay

et al. 2014

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“…4,9,10 Peripheral neuropathy associated with motor, sensory, and autonomic function disorders in patients with leprosy has several implications; e.g. contractures of the fingers, muscle weakness, Charcot foot, [11][12][13] and ulcers leading to minor or major lower limb amputations, all of which may limit mobilization. Patients enrolled in the current study had disorders affecting, in part, their posture and mobilization.…”

Section: Resultsmentioning

confidence: 99%