Harvester’s palsy – bilateral common peroneal nerve palsy: A descriptive case report

Peroneal neuropathy is the common mononeuropathy of the lower extremities in adults. The documented etiologies for peroneal nerve injury include trauma, traction, and external compression. Fibular neck is the most common site of common peroneal nerve (CPN) injury as the nerve lies superficial and vulnerable for injury. A 50-year-old male presented with foot drop in his left leg after working in squatting position for prolonged hours along with sensory disturbance in dorsum of left foot. Clinical examination showed poor dorsiflexion in both side ankle with preserved plantar flexion. Electrophysiological findings locate the site of lesion to be CPN at the level of fibular neck. We conclude that CPN is injured due to knee flexion in farmers repeatedly squatting for long hours. Superficial peroneal nerve may be spared due to their interfascicular arrangement at the level of fibular neck placing deep peroneal nerve near the fibula making them more susceptible to compression type of injury. Peroneal nerve may be damaged at multiple sites including ankle. The condition can be reversed with conservative treatment, primarily by avoiding the precipitating position.

Comparison of body composition using body mass index, body fat percentage (bioimpedance), waist circumference, hip circumference, and somatotyping across complete glycemic spectrum

Background: The association between adiposity and diabetes has been widely assessed using body mass index (BMI), waist circumference (WC), and waist-hip ratio (WHR), whereas these variables are inadequate to differentiate between muscle mass, fat mass, and bone mass. Aims and Objectives: The objective of the present study is to assess the somatotype pattern (subcutaneous fat mass distribution) and body fat percentage (%) in complete glycemic spectrum. Materials and Methods: Skinfold thickness, BMI, WC, hip circumference (HC), and WHR were measured in normoglycemic non-first-degree relatives of diabetes (Group 1), normoglycemic first-degree relatives of diabetes (Group 2), prediabetes (Group 3), and type 2 diabetes patients (Group 4). Results: The groups are comparable based on gender distribution, age, height, weight, physical activity, BMI, WC, HC, WHR, and somatotyping. Body fat percentage is significantly high in first-degree relatives of diabetes, prediabetes, and diabetes group as compared to control, in while all other groups are comparable among themselves. Conclusion: Body fat percentage can be considered as a better indicator of metabolic derangement than BMI, WC, HC, WHR, and somatotyping in the complete glycemic spectrum.