Opposite Sciatic Nerve Injury after Fixation of Femur Shaft Fracture: Two case reports / 대한마취과학회지
Korean Journal of Anesthesiology
; : 707-711, 2007.
Article
in Ko
| WPRIM
| ID: wpr-98989
Responsible library:
WPRO
ABSTRACT
A sciatic nerve injury as a complication of the position appears to be rare. There are several reports on sciatic nerve injuries that occurred as complications of the lithotomy position. We present two cases of an opposite sciatic nerve injury after the fixation of a femur shaft fracture. Two patients complained of hyperesthesia of the right foot and a foot drop after surgery. Nerve conduction and electromyographic studies were performed, which revealed a sciatic nerve injury. The patients were treated with physiotherapy and an ankle-foot orthotic. In the case 1, patient had completely recovered ten months after surgery. However, in case 2, the patient still had residual hyperesthesia and weakness two months after surgery when he was lost to follow-up. The mechanism of nerve injury in these patients was a stretching of the nerve. Tension was placed on the nerve as a result of the external rotation of the thigh with the hip and knee joints flexed.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Sciatic Nerve
/
Thigh
/
Femur
/
Lost to Follow-Up
/
Foot
/
Hip
/
Hyperesthesia
/
Knee Joint
/
Neural Conduction
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Anesthesiology
Year:
2007
Type:
Article