FOOT DROP

FOOT DROP

FOOT DROP

FOOT DROP
v UMN lesion

Spinal cord Motor cortex v LMN lesion Nerve root: L5 Lumbosacral plexus Sciatic n. Peroneal n. (common, deep) Peripheral neuropathy: CMT

FOOT DROP

Unilateral hyperreflexia Normal or hyporeflexia

Bilateral
Peripheral polyneuropathy

UMN lesion

L4,5 radiculopathy Lumbosacral plexopathy Sciatic Neuropathy Peroneal neuropathy

FOOT DROP
Action Hip flexor Knee extensor Ankle inversion Ankle dorsiflex Toe extensor Ankle eversion Muscle Iliopsoas Quadriceps Tibialis posterior Tibialis anterior EHL Peroneus Root L 1,2 L 2,3 L 4,5 L 4,5 L5, S1 L5, S1 S 1,2 S 1,2 Nerve Femoral Femoral Tibial Peroneal Peroneal Peroneal Tibial Sciatic

Ankle plantarflex Gastrosoleus Knee flexor Hamstrings

FOOT DROP
Action Hip flexor Hip adductor Hip abductor Hip extensor Muscle Iliopsoas Adductors G. Medius Root Nerve

L 1,2 Femoral L 2,3 Obturator L 4,5 Supr. Gluteal

G.Maximus L5, S1 Inf r. Gluteal

FOOT DROP with DECREASE REFLEX Foot inversion (tibialis posterior) No weakness Weakness

Peroneal neuropathy -Injury -Entrapment neuropathy No weakness Weak (Wt loss, bed ridden, cross leg,underlying PN) Sciatic L4,5 neuropathy LS plexus

Hip abduction (Gluteus medius)

FOOT DROP
COMMOM PERONEAL v Peroneus longus v Peroneus brevis DEEP PERONEAL v Tibialis anterior v EDL/B v EHL

FOOT DROP
Commom peroneal

Deep peroneal