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Iatrogenic Needle-Induced Peroneal Neuropathy in the Foot

David Preston, MD; and Eric Logigian, MD
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Requests for Reprints: Eric L. Logigian, MD, Neurology Department, New England Medical Center, Box 314, 750 Washington Street, Boston, MA 02111.

Current Author Addresses: Dr. Preston: Department of Neurology, New England Medical Center, Biewend 10, Boston, MA 02111.

Dr. Logigian: Department of Neurology, New England Medical Center, Box 314, 750 Washington Street, Boston, MA 02111.

Ann Intern Med. 1988;109(11):921-922. doi:10.7326/0003-4819-109-11-921
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This excerpt has been provided in the absence of an abstract.

Any peripheral nerve is potentially vulnerable to needle-induced injury during routine procedures such as phlebotomy, intravenous line placement, joint aspiration, or intramuscular injection. Neurologic sequelae can vary from minor motor or sensory abnormalities to complete paralysis or causalgia. The most commonly damaged nerves are the sciatic and the radial, as they are both in traditional areas for intramuscular injection (1). However, other nerves are also at risk, as shown in the following novel cases involving distal branches of the peroneal nerve, which, given their location, may be the most vulnerable nerves in the foot to be injured by needles used


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