Peroneal nerve palsy after hip arthroscopy with a perineal post: A case report of postless versus standard traction

Autor: Johnny Rayes, Ivan Wong
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopaedic Reports, Vol 2, Iss 1, Pp 100117- (2023)
Druh dokumentu: article
ISSN: 2773-157X
DOI: 10.1016/j.jorep.2022.100117
Popis: Background: Motor neurapraxias after hip arthroscopy rarely occur, and they are mostly described with the use of traction with a perineal post. Postless hip arthroscopy is recently gaining attention due to the low traction-related complication rates, but there are no cases reporting postoperative peroneal nerve palsy between the two traction techniques so far. Case presentation: A 40-year-old female weight-lifter presented with bilateral hip pain and radiographic imaging consistent with femoroacetabular impingement (FAI) syndrome and a labral tear. Bilateral hip arthroscopy was performed on a postless distraction table for the left hip and on a standard traction table with a perineal post for the right hip. Following the right-side procedure, the patient experienced groin numbness and ipsilateral foot drop, that resolved between two weeks to three months, post-operatively. Conclusion: Hip arthroscopy using both traction techniques were efficient in this patient, but the standard traction was associated with transient pudendal and peroneal nerve injuries.
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