Treatment of Peroneal Neuropathy in Proximal Deep Peroneal Neuropathy with Inability to Dorsiflex the Ankle

Proximal deep peroneal neuropathy presents a distinct functional challenge when it results in loss of active ankle dorsiflexion — a deficit that impairs gait and requires a targeted management approach.

Clinical scenario: In proximal deep peroneal neuropathy, the patient may be unable to dorsiflex the ankle. This loss of active dorsiflexion is the defining functional impairment that determines the treatment pathway.

Treatment approach

When bracing is not effective, a surgical tendon transfer procedure may be considered to restore active ankle dorsiflexion — the full structured protocol details the specific procedure, associated interventions, and timing requirements.

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References

DOI: 10.1007/s12178-008-9023-6

If the patient has a proximal deep peroneal neuropathy, he may be unable to dorsiflex the ankle.

If bracing is not effective, the tibialis posterior tendon can be transferred to the dorsum of the foot to restore active dorsiflexion.

This is often performed in conjunction with fusion of the subtalar joint and after one year post-injury.

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