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初次全髋关节置换术后短外旋肌破裂和挛缩导致的坐骨神经麻痹

Sciatic Nerve Palsy Caused by Ruptured and Contracted Short External Rotator Muscles after Primary Total Hip Arthroplasty.

作者信息

Park Jong-Seok, Kim Woo-Jong, Hong Chang-Hwa, Soh Jae-Wan, Nho Jae-Hwi, Suh You-Sung, Lee Hwan-Woong

机构信息

Department of Orthopedic Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Department of Orthopedic Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.

出版信息

Hip Pelvis. 2015 Jun;27(2):120-4. doi: 10.5371/hp.2015.27.2.120. Epub 2015 Jun 30.

DOI:10.5371/hp.2015.27.2.120
PMID:27536614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4972627/
Abstract

Although the incidence of sciatic nerve palsy following total hip arthroplasty is low, this complication can cause devastating permanent nerve palsy. The authors experienced a case of sciatic nerve palsy caused by ruptured and contracted external rotator muscles following total hip arthroplasty in a patient suffering from osteonecrosis of the femoral head. We report this unusual case of sciatic nerve palsy with a review of the literature.

摘要

尽管全髋关节置换术后坐骨神经麻痹的发生率较低，但这种并发症可导致严重的永久性神经麻痹。作者遇到一例因股骨头坏死患者全髋关节置换术后外旋肌破裂和挛缩导致坐骨神经麻痹的病例。我们报告这例罕见的坐骨神经麻痹病例并复习相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/f021624f661c/hp-27-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/90fdbbdf5f94/hp-27-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/c7a4e69d097e/hp-27-120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/f021624f661c/hp-27-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/90fdbbdf5f94/hp-27-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/c7a4e69d097e/hp-27-120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3715/4972627/f021624f661c/hp-27-120-g003.jpg

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本文引用的文献

1
Exploration and neurolysis for the treatment of neuropathic pain in patients with a sciatic nerve palsy after total hip replacement.全髋关节置换术后坐骨神经麻痹患者神经病理性疼痛的探索性神经松解治疗。
Bone Joint J. 2013 Jan;95-B(1):20-2. doi: 10.1302/0301-620X.95B1.29740.
2
Sciatic nerve palsy after primary total hip arthroplasty: a new perspective.初次全髋关节置换术后坐骨神经麻痹：一种新视角。
J Arthroplasty. 2006 Sep;21(6):796-802. doi: 10.1016/j.arth.2005.08.008. Epub 2006 Jun 8.
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初次全髋关节置换术后的运动神经麻痹
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Sciatic nerve palsy after total hip replacement.全髋关节置换术后坐骨神经麻痹
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Int Orthop. 1997;21(1):1-3. doi: 10.1007/s002640050107.
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Peripheral neuropathies following total hip arthroplasty.全髋关节置换术后的周围神经病变
J Arthroplasty. 1994 Dec;9(6):645-51. doi: 10.1016/0883-5403(94)90119-8.
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Nerve palsy associated with total hip replacement. Risk factors and prognosis.全髋关节置换相关的神经麻痹。危险因素及预后。
J Bone Joint Surg Am. 1991 Aug;73(7):1074-80.
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Peripheral neuropathies associated with total hip arthroplasty.
J Bone Joint Surg Am. 1976 Jan;58(1):66-9.