Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.
BT - The Orthopedic clinics of North America C1 - https://www.ncbi.nlm.nih.gov/pubmed/32138865 DA - 04/2020 DO - 10.1016/j.ocl.2019.11.012 IS - 2 J2 - Orthop. Clin. North Am. LA - eng N2 -Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.
PY - 2020 SP - 279 EP - 291 T2 - The Orthopedic clinics of North America TI - Orthopedic Surgical Foot Management in Hansen Disease. VL - 51 SN - 1558-1373 ER -