Delayed Sciatic Nerve Injury Resulting From Myositis Ossificans Traumatica

Wiley - Tập 8 Số 5 - Trang 484-487 - 2016
Zhe Zhe, Thomas J. Thomas J., Jon A. Jon A., Todd C. Todd C., Lynda J.‐S. Lynda J.‐S.

Tóm tắt

AbstractA motorcyclist sustained multiple‐system trauma, including a left buttock hematoma requiring decompression and evacuation. Presentation for severe hip pain and lower extremity weakness was delayed. Imaging revealed myositis ossificans traumatica compressing the sciatic nerve in the buttock. The patient underwent sciatic nerve decompression with resection of heterotopic calcification, resulting in improvement in pain and left lower extremity function. This case illustrates the contrast in differential diagnosis of peripheral nerve injury immediately posttrauma and that occurring in a slow, delayed fashion posttrauma. Myositis ossificans may be an underrecognized complication of trauma but should be considered in cases of delayed peripheral nerve injury after trauma.

Tài liệu tham khảo

10.1097/PHM.0b013e31815e6370 10.1055/s-0030-1253161 10.2106/00004623-199706000-00016 Goddyn C., 2009, Sciatic nerve compression related to ossification of the sacrospinous ligament secondary to pelvic balance abnomalities, Orthop Traumatol Surg Res, 95, 645, 10.1016/j.otsr.2009.08.005 Kleiman S.G., 1971, Late sciatic‐nerve palsy following posterior fracture‐dislocation of the hip. A case report, J Bone Joint Surg Am, 53, 781, 10.2106/00004623-197153040-00019 Reinstein L., 1983, Sciatic nerve compression by preexisting heterotopic ossification during general anesthesia in the dorsal lithotomy position, Arch Phys Med Rehabil, 64, 65 Colachis S.C., 1993, Neurovascular complications of heterotopic ossification following spinal cord injury, Paraplegia, 31, 51 10.1007/s00256-005-0958-z 10.1002/jcb.23225 10.1016/j.jse.2015.05.044
Thông tin
Thông tin xuất bản

Wiley

Tập 8 Số 5

484-487

Thông tin tác giả