Late recovery of sciatic nerve palsy at twelve years following pelvis fracture
| Autor: | T. Al-Atassi, D.M. Hahn, P. Choudhray, A.S. Eid, J.R.A. Phillips |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Neural Conduction Electromyography Fractures Bone medicine Humans Pelvic Bones Gait Disorders Neurologic Pelvis General Environmental Science medicine.diagnostic_test Multiple Trauma Sciatic nerve palsy business.industry Accidents Traffic Acetabular fracture Recovery of Function medicine.disease Sciatic Nerve Acetabulum Exercise Therapy Nerve Regeneration Surgery Treatment Outcome medicine.anatomical_structure General Earth and Planetary Sciences Female Sciatic nerve Sciatic Neuropathy Complication business Common peroneal nerve |
| Zdroj: | Injury. 42:1188-1189 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2010.09.021 |
| Popis: | Injury to the sciatic nerve is a well recognised complication of fractures of the pelvic ring and acetabulum, occurring either at the time of injury or as an iatrogenic injury secondary to treatment. The prevalence of sciatic nerve in injury has been reported to be 10–13% after acetabular fracture or fracture-dislocation of the hip. The natural history of sciatic nerve recovery after injury is not well established. Rates of clinical recovery of nerve function of between 60% and 75% have been reported at up to three years post injury. Significant involvement of the common peroneal nerve is associated with the worst prognosis, and outcome is generally poor. There are no long term studies identifying the rate of late nerve recovery. We present a patient who has developed late partial motor and sensory recovery of the sciatic nerve at twelve years post injury to the pelvic ring, which has been confirmed by the presence of nerve regeneration by nerve conduction studies. |
| Databáze: | OpenAIRE |
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