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Inflammatory Neuropathy of the Lumbosacral Plexus following Periacetabular Osteotomy
Joint Authors
Ghijselings, Stijn
Bruyninckx, Frans
Delport, Hendrik
Corten, Kristoff
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
During periacetabular osteotomy (PAO), the sciatic, femoral, and obturator nerves are at risk.
Most frequently nerve lesions can be attributed to a mechanical cause; however, in the absence of a clear mechanical cause surgeons are faced with a diagnostic problem and in many cases no diagnosis will be established.
We report a case of inflammatory neuropathy of the lumbosacral plexus following a PAO.
Case Presentation.
A 31-year-old female developed weakness of ankle and knee flexion and extension 6 months after a PAO.
Electrophysiological studies revealed damage to the obturator, femoral, and sciatic nerve consistent with an inflammatory lumbosacral plexopathy.
MRI of the lumbosacral plexus was normal.
The patient was treated with multimodal pain therapy and prolonged physiotherapy; nevertheless, symptoms worsened over time.
At 2-year follow-up, there were no signs of recovery.
Discussion.
Inflammatory neuropathy of the lumbosacral plexus is a potential cause of pain and weakness after ipsilateral orthopaedic procedures.
It should be distinguished from more frequently encountered mechanical causes of postsurgical neuropathy based on clinical suspicion, electrophysiological studies, MRI, and nerve biopsy.
It is important that the orthopaedic community is aware of this complication since there is some evidence that early recognition and initiation of immunosuppressive therapy can lead to improved clinical outcome.
American Psychological Association (APA)
Ghijselings, Stijn& Bruyninckx, Frans& Delport, Hendrik& Corten, Kristoff. 2016. Inflammatory Neuropathy of the Lumbosacral Plexus following Periacetabular Osteotomy. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101981
Modern Language Association (MLA)
Ghijselings, Stijn…[et al.]. Inflammatory Neuropathy of the Lumbosacral Plexus following Periacetabular Osteotomy. Case Reports in Orthopedics No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101981
American Medical Association (AMA)
Ghijselings, Stijn& Bruyninckx, Frans& Delport, Hendrik& Corten, Kristoff. Inflammatory Neuropathy of the Lumbosacral Plexus following Periacetabular Osteotomy. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101981
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101981