Sciatic Nerve Palsy following Curved Periacetabular Osteotomy
Joint Authors
Matsumoto, Tomoyuki
Hayashi, Shinya
Hashimoto, Shingo
Takayama, Koji
Takashima, Yoshinori
Kamenaga, Tomoyuki
Tsubosaka, Masanori
Fujita, Masahiro
Kikuchi, Kenichi
Fukuda, Koji
Kuroda, Ryosuke
Niikura, Takahiro
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Curved periacetabular osteotomy (CPO) is used for the treatment of dysplastic hips.
Previous studies have reported satisfying outcomes and low rate of severe complications associated with this procedure; however, no case of postoperative sciatic nerve palsy has been reported.
In this study, we describe a case of postoperative sciatic nerve palsy following CPO due to nerve strangulation by scar tissue without direct injury.
A female patient had severe buttock pain and posterior leg numbness after she underwent left-side CPO.
Postoperative magnetic resonance imaging showed that the sciatic nerve was strangulated by the surrounding soft tissue.
There was no bone fragment, active infection, bone necrosis, tumor, or spine disease.
Therefore, we diagnosed nerve palsy by soft tissue strangulation, and revision surgery was indicated.
During revision surgery, the sciatic nerve was observed to be strangulated by the scarring soft tissue, and the nerve had no mobility.
After detachment, the pain and numbness disappeared.
Direct injury of the sciatic nerve should not be caused by CPO; however, there is a possibility of postoperative sciatic nerve palsy due to the scarring soft tissue.
Early diagnosis and appropriate treatment are important for optimal postoperative clinical outcomes.
American Psychological Association (APA)
Fujita, Masahiro& Hayashi, Shinya& Kikuchi, Kenichi& Takashima, Yoshinori& Kamenaga, Tomoyuki& Tsubosaka, Masanori…[et al.]. 2020. Sciatic Nerve Palsy following Curved Periacetabular Osteotomy. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150023
Modern Language Association (MLA)
Fujita, Masahiro…[et al.]. Sciatic Nerve Palsy following Curved Periacetabular Osteotomy. Case Reports in Orthopedics No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1150023
American Medical Association (AMA)
Fujita, Masahiro& Hayashi, Shinya& Kikuchi, Kenichi& Takashima, Yoshinori& Kamenaga, Tomoyuki& Tsubosaka, Masanori…[et al.]. Sciatic Nerve Palsy following Curved Periacetabular Osteotomy. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150023
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150023