RESUMEN
Sciatic nerve palsy after total knee arthroplasty, accompanied by motor power weakness and electromyographic evidence, is a rare occurrence. In a 78-year-old female, pneumatic tourniquet was used for 72 minutes, with a pressure of 300 mmHg. The time and pressure are generally accepted values. We noticed sciatic nerve palsy showing motor power weakness and electromyographic evidence. One year after the operation, she recovered full motor power, but complained about a tingling sensation below the knee. Given that the nerve injury after using tourniquet was due to neural ischemia, and since our patient had vascular circulation problems such as atrial fibrillation and clip insertion due to internal carotid artery aneurysm, our patient can be considered as a high-risk patient with weakness to neural ischemic damage, even with the use of conventional tourniquet. Therefore, surgeons should be cautious when using tourniquet in patients with vascular circulation problems.
Asunto(s)
Anciano , Femenino , Humanos , Aneurisma , Artroplastia de Reemplazo de Rodilla , Fibrilación Atrial , Arteria Carótida Interna , Isquemia , Rodilla , Nervio Ciático , Neuropatía Ciática , Sensación , Cirujanos , TorniquetesRESUMEN
Femur intramedullary nailing can be one of the most predictable procedures in orthopedic traumatology. The advantage of this method is that the fracture site does not have to be widely exposed for reduction, which can minimize soft tissue damage. For this reason, the incidence of complications related to hematoma has been rare. We experienced only one case of sciatic nerve palsy due to hematoma after intramedullary nailing; the patient was receiving an anticoagulant therapy. Therefore, we report this case with literature review.
Asunto(s)
Humanos , Anticoagulantes , Fracturas del Fémur , Fémur , Fijación Intramedular de Fracturas , Hematoma , Incidencia , Métodos , Ortopedia , Nervio Ciático , Neuropatía Ciática , TraumatologíaRESUMEN
Although the incidence of sciatic nerve palsy following total hip arthroplasty is low, this complication can cause devastating permanent nerve palsy. The authors experienced a case of sciatic nerve palsy caused by ruptured and contracted external rotator muscles following total hip arthroplasty in a patient suffering from osteonecrosis of the femoral head. We report this unusual case of sciatic nerve palsy with a review of the literature.
Asunto(s)
Humanos , Artroplastia , Artroplastia de Reemplazo de Cadera , Cabeza , Incidencia , Músculos , Osteonecrosis , Parálisis , Neuropatía CiáticaRESUMEN
Nerve palsy as a complication of hematoma following total hip arthroplasty (THA) is a rare development. Although rare, this complication can cause permanent nerve palsy. The authors experienced a case of recovery from sciatic nerve palsy after emergency evacuation of a hematoma. The expanding thigh hematoma was due to anticoagulation treatment for prevention of venous thromboembolism after total hip arthroplasty. After 10 months from the operation, the patient regained complete motor power and leads an ordinary life. The authors would like to emphasize the danger of hematoma following anticoagulation therapy for prevention of venous thromboembolism after total hip arthroplasty.
Asunto(s)
Humanos , Artroplastia , Urgencias Médicas , Hematoma , Cadera , Parálisis , Nervio Ciático , Neuropatía Ciática , Muslo , Tromboembolia VenosaRESUMEN
STUDY DESIGN: A case report. OBJECTIVE: We wanted to present the clinical manifestation and imaging findings of a rare case of acute sciatic nerve palsy with a foot drop similar to lumbar disc herniation developed after sleeping for 8 hours in a sitting position in inebriated condition. SUMMARY OF LITERATURE REVIEW: Sciatic nerve palsy as a complication from being operated in a sitting position have been reported, but here have not been any reported cases of after-sleep sciatic nerve palsy. STUDY SUBJECT AND METHODS: Sixty eight year old male admitted to hospital due to acute onset of right foot drop, subsequent walking difficulty, and numbness of the right calf and foot. Symptoms began after 8 hours of sleeping in a sitting position. Pelvic MRI exam revealed sciatic neuropathy, and also electrophysiological exam revealed sciatic nerve palsy. RESULTS: The subject patient's conditions started improving after 6 weeks and he was able to walk again on his own. CONCLUSION: Sciatic nerve injury by prolonged pressure around the buttocks or posterior thighs, albeit rare, can develop and may cause foot drop, parethesia and sciatica.
Asunto(s)
Humanos , Masculino , Nalgas , Pie , Hipoestesia , Nervio Ciático , Neuropatía Ciática , Ciática , Muslo , CaminataRESUMEN
Rhabdomyolysis is an acute disorder resulting from skeletal muscle injury in which intracellular contents are released into extracellular space and plasma. The condition may result from drug or alcohol abuse, infection, collagen disease or intensive excersice, trauma and longstanding comatous mentality. We report a case of sciatic nerve palsy complicating gluteal compartment syndrome due to rhabdomyolysis.
Asunto(s)
Alcoholismo , Enfermedades del Colágeno , Síndromes Compartimentales , Espacio Extracelular , Músculo Esquelético , Plasma , Rabdomiólisis , Nervio Ciático , Neuropatía CiáticaRESUMEN
A 33-year-old female visited to our hospital complaining of severe painful swelling in her right buttock. Ten hours previously, she had fallen down stairs. Motor power of her ankle and foot were zero to trace and the intracompartment pressure of the gluteal region was 50 mmHg. MRI showed diffuse intramuscular edema of right gluteal muscle. Emergency fasciotomy of the gluteal compartment was per-formed and her neurologic signs gradually improved at a postoperative 24 hours. She recovered completely at postoperative 14 days without further sequelae.