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Toe extensor weakness resulting from trivial athletic trauma

Report of three unusual cases

Department of Neurology, University of Nebraska Medical Center, Omaha, Nebraska

Sallie F. Sun, M.D.

Department of Neurology, University of Nebraska Medical Center, Omaha, Nebraska

Ronald F. Pfeiffer, M.D.

Department of Neurology, University of Nebraska Medical Center, Omaha, Nebraska

Three patients exhibited variable weakness of toe extensors after trivial injuries. The first patient suffered an acute, partial anterior compartment syndrome dur ing a prolonged motorbike ride; the second a traction injury of the deep peroneal nerve while slipping during a racquetball game. The third patient developed a compression injury of the peroneal nerve on the basis of a generalized demyelinating polyneuropathy. The major clues for diagnosis and management came from electromyographic (EMG) examination.