Screw Impingement Causing Massive Swelling of the Sciatic Nerve: A Case Report

Sciatic nerve (SN) injuries after hip fracture dislocation are described and are not uncommon. Several factors can lead to SN injury after hip surgery; among other factors, screw plates of synthesis materials can immigrate and lead to nerve impingement. We report a case of a 22-year-old male with a...

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Detalles Bibliográficos
Autores principales: Rhoul, Abdelilah, Gartit, Mohammed, Noumairi, Mohamed, Elmir, Siham, Allam, Abdallah El-Sayed, Lachkar, Adnane, Abdeljaouad, Najib, Yacoubi, Hicham, EL Oumri, Ahmed Amine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Pain Management
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720081/
https://www.ncbi.nlm.nih.gov/pubmed/36475198
http://dx.doi.org/10.7759/cureus.31059
Descripción
Sumario:Sciatic nerve (SN) injuries after hip fracture dislocation are described and are not uncommon. Several factors can lead to SN injury after hip surgery; among other factors, screw plates of synthesis materials can immigrate and lead to nerve impingement. We report a case of a 22-year-old male with a history of posterior wall fracture and hip dislocation after a motorway accident. Ultrasonography showed massive swelling of the SN with a cross-sectional area measured at 1.50 cm(2) upstream to screw impingement. The reoperation option was judged too risky by the orthopedic surgeons; currently, the patient is undergoing platelet-rich plasma (PRP) injections around the nerve swelling and to the lifter muscles of the foot.

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