Seo Jae-Seong, Youm Jae-Woo, Kim Sang-Min
Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea.
Hip Pelvis. 2018 Jun;30(2):125-128. doi: 10.5371/hp.2018.30.2.125. Epub 2018 Jun 4.
Femoral nerve palsy after total hip arthroplasty is an uncommon complication. We present a case report of delayed-onset femoral nerve palsy associated with iliopsoas hematoma and bursitis 10 years after primary total hip arthroplasty in a 57-year-old male patient with avascular necrosis of the femoral head. The patient visited our clinic due to swelling of the inguinal area with sudden-onset knee extension weakness. Radiologic examination at admission revealed suspicion of bursitis and hematoma on iliopsoas muscle. After evacuation of the hematoma and bursitis debridement, the patient's clinical symptoms improved dramatically. This is a rare report of femoral nerve palsy due to noninfectious iliopsoas bursitis and hematoma after total hip arthroplasty.
全髋关节置换术后股神经麻痹是一种罕见的并发症。我们报告一例57岁男性股骨头缺血性坏死患者，在初次全髋关节置换术后10年出现迟发性股神经麻痹，伴有髂腰肌血肿和滑囊炎。患者因腹股沟区肿胀并突然出现膝关节伸展无力前来我院就诊。入院时的影像学检查显示怀疑髂腰肌有滑囊炎和血肿。在血肿清除和滑囊炎清创术后，患者的临床症状显著改善。这是一例全髋关节置换术后非感染性髂腰肌滑囊炎和血肿导致股神经麻痹的罕见病例报告。
