An H S, Jackson W T, Hawthorne K, Ebraheim N
Department of Orthopedic Surgery, Medical College of Ohio, Toledo 43699.
J Orthop Trauma. 1987;1(2):174-6. doi: 10.1097/00005131-198702010-00008.
Sciatic nerve palsy as a result of a posterior hip dislocation has been reported in the literature. Femoral nerve palsy as a result of a iliacus hematoma has also been documented. However, a simultaneous sciatic and femoral nerve palsy occurring after heparinization for a pulmonary embolus in a patient with a posterior hip dislocation has not been reported. This combined nerve palsy was found in a 64-year-old white woman who had been involved in a motor vehicle accident and sustained a posterior hip dislocation. This patient subsequently had a pulmonary embolism, was heparinized, and then developed a large iliacus and gluteal hematoma, resulting in a simultaneous sciatic and femoral nerve palsy. Without treatment, the patient regained motor and sensory of the sciatic nerve in a few days, and a gradual improvement of function of her femoral nerve was evident over several months.
文献中已报道过因髋关节后脱位导致的坐骨神经麻痹。也有因髂腰肌血肿导致股神经麻痹的记录。然而，尚未有关于一名髋关节后脱位患者在肝素化治疗肺栓塞后同时出现坐骨神经和股神经麻痹的报道。这种合并性神经麻痹见于一名64岁白人女性，她曾遭遇机动车事故并导致髋关节后脱位。该患者随后发生肺栓塞，接受肝素化治疗，继而出现巨大的髂腰肌和臀肌血肿，导致坐骨神经和股神经同时麻痹。未经治疗，患者在数天内恢复了坐骨神经的运动和感觉功能，股神经功能在数月内逐渐明显改善。
