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髋臼周围弧形截骨术后坐骨神经麻痹

Sciatic Nerve Palsy following Curved Periacetabular Osteotomy.

作者信息

Fujita Masahiro, Hayashi Shinya, Kikuchi Kenichi, Takashima Yoshinori, Kamenaga Tomoyuki, Tsubosaka Masanori, Fukuda Koji, Takayama Koji, Hashimoto Shingo, Niikura Takahiro, Kuroda Ryosuke, Matsumoto Tomoyuki

机构信息

Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo 650-0017, Japan.

出版信息

Case Rep Orthop. 2020 Mar 19;2020:8569285. doi: 10.1155/2020/8569285. eCollection 2020.

DOI:10.1155/2020/8569285
PMID:32257486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7106866/
Abstract

Curved periacetabular osteotomy (CPO) is used for the treatment of dysplastic hips. Previous studies have reported satisfying outcomes and low rate of severe complications associated with this procedure; however, no case of postoperative sciatic nerve palsy has been reported. In this study, we describe a case of postoperative sciatic nerve palsy following CPO due to nerve strangulation by scar tissue without direct injury. A female patient had severe buttock pain and posterior leg numbness after she underwent left-side CPO. Postoperative magnetic resonance imaging showed that the sciatic nerve was strangulated by the surrounding soft tissue. There was no bone fragment, active infection, bone necrosis, tumor, or spine disease. Therefore, we diagnosed nerve palsy by soft tissue strangulation, and revision surgery was indicated. During revision surgery, the sciatic nerve was observed to be strangulated by the scarring soft tissue, and the nerve had no mobility. After detachment, the pain and numbness disappeared. Direct injury of the sciatic nerve should not be caused by CPO; however, there is a possibility of postoperative sciatic nerve palsy due to the scarring soft tissue. Early diagnosis and appropriate treatment are important for optimal postoperative clinical outcomes.

摘要

髋臼周围截骨术（CPO）用于治疗髋关节发育不良。既往研究报道该手术疗效满意且严重并发症发生率低；然而，尚未有术后坐骨神经麻痹的病例报道。在本研究中，我们描述了1例CPO术后因瘢痕组织压迫神经而非直接损伤导致坐骨神经麻痹的病例。1例女性患者在接受左侧CPO术后出现严重臀部疼痛和下肢后侧麻木。术后磁共振成像显示坐骨神经被周围软组织压迫。不存在骨碎片、活动性感染、骨坏死、肿瘤或脊柱疾病。因此，我们诊断为软组织压迫导致的神经麻痹，并建议进行翻修手术。在翻修手术中，观察到坐骨神经被瘢痕化的软组织压迫，且神经无活动度。松解后，疼痛和麻木消失。CPO不应导致坐骨神经的直接损伤；然而，瘢痕化的软组织有可能导致术后坐骨神经麻痹。早期诊断和恰当治疗对于获得最佳术后临床效果很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/6a93d5d0cf9a/CRIOR2020-8569285.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/d38ed815dbe1/CRIOR2020-8569285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/80536a3d1e16/CRIOR2020-8569285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/6a93d5d0cf9a/CRIOR2020-8569285.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/d38ed815dbe1/CRIOR2020-8569285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/80536a3d1e16/CRIOR2020-8569285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/7106866/6a93d5d0cf9a/CRIOR2020-8569285.003.jpg

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本文引用的文献

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Int Orthop. 2018 Nov;42(11):2555-2561. doi: 10.1007/s00264-018-3906-y. Epub 2018 Mar 26.
2
Delayed-Onset Sciatic Nerve Palsy After Periacetabular Osteotomy: A Case Report.髋臼周围截骨术后迟发性坐骨神经麻痹：一例报告
JBJS Case Connect. 2017 Jan-Mar;7(1):e9. doi: 10.2106/JBJS.CC.16.00084.
3
The roles of cellular and molecular components of a hematoma at early stage of bone healing.骨愈合早期血肿中细胞和分子成分的作用。
J Tissue Eng Regen Med. 2018 Apr;12(4):e1911-e1925. doi: 10.1002/term.2622. Epub 2018 Jan 31.
4
Chronic Expanding Hematoma in the Extremities: A Clinical Problem of Adhesion to the Surrounding Tissues.四肢慢性扩展性血肿：与周围组织粘连的临床问题。
Biomed Res Int. 2017;2017:4634350. doi: 10.1155/2017/4634350. Epub 2017 May 31.
5
Glomangiomatosis of the sciatic nerve: a case report and review of the literature.坐骨神经血管球瘤病：一例病例报告及文献复习
Skeletal Radiol. 2017 Jun;46(6):807-815. doi: 10.1007/s00256-017-2594-9. Epub 2017 Mar 17.
6
Platelet-rich plasma: a biomimetic approach to enhancement of surgical wound healing.富血小板血浆：一种促进手术伤口愈合的仿生方法。
J Surg Res. 2017 Jan;207:33-44. doi: 10.1016/j.jss.2016.08.063. Epub 2016 Aug 26.
7
Comparison of rotational acetabular osteotomy performed with navigation by surgeons with different levels of experience of osteotomies.不同截骨经验水平的外科医生在导航辅助下进行髋臼旋转截骨术的比较。
Int J Comput Assist Radiol Surg. 2017 May;12(5):841-853. doi: 10.1007/s11548-016-1494-0. Epub 2016 Oct 25.
8
Biomechanical comparison of the fixation after curved periacetabular osteotomy using titanium and bioabsorbable screws.使用钛钉和可生物吸收螺钉进行髋臼周围弧形截骨术后内固定的生物力学比较
Hip Int. 2015 Mar-Apr;25(2):164-7. doi: 10.5301/hipint.5000214. Epub 2015 Jan 29.
9
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J Bone Joint Surg Am. 2014 Dec 3;96(23):1967-74. doi: 10.2106/JBJS.N.00113.
10
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Clin Orthop Surg. 2014 Jun;6(2):127-37. doi: 10.4055/cios.2014.6.2.127. Epub 2014 May 16.