Shim Ho Yong, Lim Oh Kyung, Bae Keun Hwan, Park Seok Min, Lee Ju Kang, Park Ki Deok
Department of Rehabilitation Medicine, Michuhol Rehabilitation Center, Incheon, Korea.
Department of Rehabilitation Medicine, Gachon University of Medicine and Science, Incheon, Korea.
Ann Rehabil Med. 2013 Dec;37(6):886-90. doi: 10.5535/arm.2013.37.6.886. Epub 2013 Dec 23.
Sciatic nerve injury after stretching exercise is uncommon. We report a case of an 18-year-old female trained dancer who developed sciatic neuropathy primarily involving the tibial division after routine stretching exercise. The patient presented with dysesthesia and weakness of the right foot during dorsiflexion and plantarflexion. The mechanism of sciatic nerve injury could be thought as hyperstretching alone, not caused by both hyperstretching and compression. Electrodiagnostic tests and magnetic resonance imaging revealed evidence of the right sciatic neuropathy from the gluteal fold to the distal tibial area, and partial tear of the left hamstring origin and fluid collection between the left hamstring and ischium without left sciatic nerve injury. Recovery of motor weakness was obtained by continuous rehabilitation therapy and some evidence of axonal regeneration was obtained by follow-up electrodiagnostic testing performed at 3, 5, and 12 months after injury.
拉伸运动后坐骨神经损伤并不常见。我们报告一例18岁的女性职业舞者,在常规拉伸运动后发生了主要累及胫神经分支的坐骨神经病变。患者在足背屈和跖屈时出现右脚感觉异常和无力。坐骨神经损伤的机制可认为是单纯的过度拉伸,而非过度拉伸和压迫共同导致。电诊断测试和磁共振成像显示从臀褶到胫神经远端区域存在右侧坐骨神经病变的证据,左侧腘绳肌起点部分撕裂以及左侧腘绳肌与坐骨之间有积液,但未出现左侧坐骨神经损伤。通过持续的康复治疗,运动无力症状得到了恢复,并且在损伤后3个月、5个月和12个月进行的随访电诊断测试中获得了一些轴突再生的证据。