全髋关节置换术后磨损碎屑导致坐骨神经受压：三例报告

Compression of the sciatic nerve by wear debris following total hip replacement: a report of three cases.

作者信息

Crawford J R, Van Rensburg L, Marx C

机构信息

Department of Trauma and Orthopaedics, Ipswich Hospital NHS Trust, Suffolk, England.

出版信息

J Bone Joint Surg Br. 2003 Nov;85(8):1178-80. doi: 10.1302/0301-620x.85b8.13638.

DOI:10.1302/0301-620x.85b8.13638

PMID:14653604

Abstract

Pain in the distribution of the sciatic nerve is common in the elderly. In the presence of a long-standing joint replacement, consideration should be given as to whether compression might be due to an extraspinal cause. We present three women, in whom a mass of wear debris from a previous total hip replacement caused compression of the sciatic nerve posterior to the hip. The symptoms were relieved immediately following operation.

摘要

坐骨神经分布区域的疼痛在老年人中很常见。对于长期存在关节置换的情况，应考虑压迫是否可能由脊柱外原因引起。我们报告了三名女性患者，她们之前全髋关节置换产生的磨损碎屑团块导致了髋关节后方坐骨神经受压。术后症状立即得到缓解。