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双侧创伤性髋关节脱位伴坐骨神经麻痹。

Bilateral traumatic hip dislocation with sciatic nerve palsy.

作者信息

Fan Ka Yuk, Lui Tun Hing

机构信息

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong.

出版信息

BMJ Case Rep. 2015 Mar 25;2015:bcr2014204031. doi: 10.1136/bcr-2014-204031.

Abstract

Bilateral hip dislocation is a rare condition. We report a case of traumatic bilateral hip dislocation and unilateral sciatic nerve palsy in a young woman with known idiopathic scoliosis. With prompt reduction of the dislocated hips, there was reasonable neurological recovery. There was no avascular necrosis of the femoral head or post-traumatic arthritis up to 3-year follow-up. The gender difference in incidence, as well as the predisposition of hip dislocation in scoliosis is discussed. In our case, the decreased femoral anteversion was the culprit.

摘要

双侧髋关节脱位是一种罕见的病症。我们报告了一例年轻女性创伤性双侧髋关节脱位并伴有单侧坐骨神经麻痹的病例,该女性患有特发性脊柱侧弯。随着脱位髋关节的迅速复位,神经功能得到了合理恢复。在长达3年的随访中,未出现股骨头缺血性坏死或创伤后关节炎。文中讨论了发病率的性别差异以及脊柱侧弯患者髋关节脱位的易患因素。在我们的病例中,股骨前倾角减小是罪魁祸首。

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