关键词: Seroma deep peroneal nerve palsy foot drop sciatic nerve total hip arthroplasty

来  源:   DOI:10.13107/jocr.2022.v12.i06.2886   PDF(Pubmed)

Abstract:
UNASSIGNED: In this manuscript, we present a late presentation of deep peroneal nerve symptoms after total hip arthroplasty (THA) which subsequently completely resolved after seroma evacuation and sciatic nerve decompression. While hematoma formation causing deep peroneal nerve symptoms after THA has been reported in the literature, we are unaware of any reports of seroma formation causing similar symptoms.
UNASSIGNED: A 38-year-old female underwent an uncomplicated primary THA and developed paresthesia\'s over the lateral leg and foot drop on post-operative day 7. Ultrasound diagnosed a fluid collection compressing the sciatic nerve. The patient underwent seroma evacuation and sciatic nerve decompression. Patient regained active dorsiflexion and minimal paresthesia\'s over the dorsal lateral foot at the 12-month post-operative clinic visit.
UNASSIGNED: Early operative intervention in patients with diagnosed fluid collection and worsening neurological deficits can result in good outcomes. This is a unique case as there are no other case reports of seroma formation causing deep peroneal nerve palsy.
摘要:
在这份手稿中,我们介绍了全髋关节置换术(THA)后腓骨深神经症状的晚期表现,随后在血清肿排空和坐骨神经减压后完全缓解。虽然在文献中已经报道了血肿形成引起THA后腓深神经症状,我们不知道任何血清肿形成引起类似症状的报告。
一名38岁的女性在术后第7天接受了简单的原发性THA,并在外侧腿和脚下垂上出现感觉异常。超声诊断为压迫坐骨神经的流体集合。患者接受了血清肿清除术和坐骨神经减压术。患者在术后12个月的门诊就诊时恢复了主动背屈和背侧外侧足的轻微感觉异常。
对诊断为液体收集和神经功能缺损恶化的患者进行早期手术干预可以获得良好的结果。这是一个独特的病例,因为没有其他病例报道血清肿形成导致腓深神经麻痹。
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