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1
[Posttraumatic hematoma of the Iliopsoas muscle with femoral nerve palsy: about a case report and review of literature].[创伤后髂腰肌血肿伴股神经麻痹：一例病例报告及文献复习]
Pan Afr Med J. 2015 Mar 3;20:198. doi: 10.11604/pamj.2015.20.198.6265. eCollection 2015.
2
Complete paralysis of the quadriceps secondary to post-traumatic iliopsoas hematoma: a systematic review.创伤后髂腰肌血肿继发股四头肌完全麻痹：一项系统评价
Eur J Orthop Surg Traumatol. 2015 Jan;25(1):39-43. doi: 10.1007/s00590-013-1305-z. Epub 2013 Sep 1.
3
Femoral nerve palsy secondary to traumatic iliacus haematoma--a young athlete's injury.创伤性髂腰肌血肿继发股神经麻痹——一名年轻运动员的损伤
BMJ Case Rep. 2010 Oct 22;2010:bcr0520103045. doi: 10.1136/bcr.05.2010.3045.
4
Femoral Neuropathy due to Iliacus Muscle Hematoma in a Patient on Warfarin Therapy.华法林治疗患者因髂腰肌血肿导致股神经病变
J Korean Neurosurg Soc. 2012 Jan;51(1):51-3. doi: 10.3340/jkns.2012.51.1.51. Epub 2012 Jan 31.
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Femoral nerve palsy associated with iliacus hematoma following pseudoaneurysm after revision hip arthroplasty.髋关节翻修术后假性动脉瘤伴髂腰肌血肿所致股神经麻痹
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6
Iliopsoas haemorrhage in patients with haemophilia: results from one centre.血友病患者的髂腰肌出血：来自一个中心的结果。
Haemophilia. 2005 Sep;11(5):463-7. doi: 10.1111/j.1365-2516.2005.01123.x.
7
Femoral nerve palsy secondary to traumatic pseudoaneurysm and iliacus hematoma.创伤性假性动脉瘤和髂腰肌血肿继发股神经麻痹。
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8
Iliopsoas haemorrhage in patients with bleeding disorders--experience from one centre.出血性疾病患者的髂腰肌出血——来自一个中心的经验
Haemophilia. 2003 Nov;9(6):721-6. doi: 10.1046/j.1351-8216.2003.00822.x.
9
Psoas haematoma and femoral neuropathy associated with enoxaparin therapy.与依诺肝素治疗相关的腰大肌血肿和股神经病变
Int J Clin Pract. 2003 Jul-Aug;57(6):553-4.
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Peripheral nerve complications in hemophilia.血友病的周围神经并发症
J Assoc Physicians India. 2003 Feb;51:167-9.

创伤后髂腰肌血肿并发股神经麻痹。

Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma.

作者信息

Nefiss Mouadh, Tebourbi Anis, Ben Maatoug Aymen, Bouzidi Ramzi

机构信息

Department Of Orthopedic Surgery, Tunis El Manar University, Faculty Of Medecine, Tunis, Tunisia.

出版信息

BMJ Case Rep. 2018 Jun 21;2018:bcr-2017-220446. doi: 10.1136/bcr-2017-220446.

DOI:10.1136/bcr-2017-220446
PMID:29930178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6020870/
Abstract

Paralysis of the femoral nerve secondary to iliopsoas haematoma is a rare post-traumatic complication. Because of the large differential diagnosis, a high level of suspicion is required for its early recognition. Treatment modalities are controversial due to the rarity of this entity. An 18-year-old student presented with complete paralysis of the knee extensors and a sensory deficit on the anterior side of the thigh 5 weeks after a sport accident. MRI of the lesser pelvis showed an iliopsoas haematoma. Surgical decompression was performed and recovery was complete at 6 months of follow-up.

摘要

继发于髂腰肌血肿的股神经麻痹是一种罕见的创伤后并发症。由于鉴别诊断范围广，早期识别需要高度怀疑。由于该病症罕见，治疗方式存在争议。一名18岁学生在运动事故5周后出现膝伸肌完全麻痹及大腿前侧感觉障碍。小骨盆MRI显示髂腰肌血肿。进行了手术减压，随访6个月时完全恢复。