Szalay Elizabeth A
Department of Pediatric Orthopaedics, University of New Mexico School of Medicine, UNM Carrie Tingley Hospital, Albuquerque, NM 87102, USA.
J Pediatr Orthop. 2010 Oct-Nov;30(7):739-41. doi: 10.1097/BPO.0b013e3181efb925.
Femoral nerve palsy has been described as a result of hip hyperflexion during orthotic treatment for developmental dysplasia of the hip, but femoral nerve palsy in newborns who have not had brace treatment has not been reported.
Two cases of femoral nerve palsy after breech lie in utero are reviewed. Neither of these infants had undergone treatment of any sort for the hip.
In both children, Ortolani-positive hip dislocation was encountered. Both were treated with abduction orthoses with lesser hip flexion than the Pavlik-type brace. Nerve recovery was complete, and the hip dysplasia resolved satisfactorily.
Femoral nerve palsy may be seen after breech lie in utero and may be associated with hip instability. Treatment considerations for the hip must take into account the nerve compromise.
Level IV, case series.
在对发育性髋关节发育不良进行矫形治疗期间，股神经麻痹被描述为髋关节过度屈曲的结果，但尚未有关于未接受支具治疗的新生儿发生股神经麻痹的报道。
回顾了两例宫内臀位产后发生股神经麻痹的病例。这两名婴儿均未接受过任何类型的髋关节治疗。
两名儿童均发现奥尔托拉尼征阳性髋关节脱位。两人均接受了外展矫形器治疗，髋关节屈曲程度小于帕夫利克式支具。神经恢复完全，髋关节发育不良得到满意解决。
宫内臀位产后可能出现股神经麻痹，且可能与髋关节不稳定有关。髋关节的治疗考虑必须兼顾神经损伤情况。
四级，病例系列。
