Macdonald J, McMahon S E, O'Longain D, Acton J D
C/O Ward 2, Altnagelvin Area Hopital, Western Health and Social Care Trust, Glenshane Road, Londonderry, BT47 6SB, Northern Ireland, UK.
Eur J Orthop Surg Traumatol. 2018 Feb;28(2):305-308. doi: 10.1007/s00590-017-2029-2. Epub 2017 Aug 24.
A 47-year-old man presented three months post-hamstring injury with posterior thigh and buttock pain, paraesthesia over the lateral part of the leg and dorsum of the foot and a foot drop. MRI identified a hamstring muscle injury with a lesion surrounding 20 cm of the proximal sciatic nerve consistent with an extensive haematoma. Surgical debridement and release was planned; however, his signs spontaneously resolved with rest, physiotherapy and splintage prior to surgery. There have been no other reports of a sciatic nerve lesion with neurological signs resolving without surgical exploration.
一名47岁男性在腘绳肌损伤三个月后出现大腿后部和臀部疼痛、小腿外侧及足背感觉异常以及足下垂。磁共振成像（MRI）显示腘绳肌损伤，坐骨神经近端约20厘米周围有一病灶，符合广泛血肿表现。计划进行手术清创和减压；然而，在手术前，通过休息、物理治疗和夹板固定，他的症状自行缓解。此前尚无坐骨神经损伤且神经症状未经手术探查而自行缓解的其他报道。
