滑倒导致的股神经损伤：一种使人衰弱的损伤的新表现形式。
Femoral Nerve injury from slip and fall: A novel presentation of debilitating injury.
作者信息
Karsen Phillip, Long Jeremiah, Noland Shelley, McElvaney Christian, Patel Karan
机构信息
Department of Orthopedic Surgery, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix AZ, USA.
Department of Radiology, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix AZ, USA.
出版信息
J Orthop Case Rep. 2025 Jan;15(1):128-132. doi: 10.13107/jocr.2025.v15.i01.5150.
INTRODUCTION
Femoral nerve injury is a recognized complication of abdominal, pelvic, and orthopedic surgeries. It can also occur due to pelvic fractures, intra-abdominal trauma, and hip injuries. These injuries often result in pain, weakness, and difficulty with ambulation, significantly impacting a patient's quality of life.
CASE REPORT
We report the case of a 72-year-old male who developed femoral nerve palsy while exiting a hot tub. The unusual mechanism of injury initially led to a missed diagnosis, delaying appropriate treatment. Following an extensive diagnostic workup, femoral nerve palsy was identified as the cause of his disability. Timely intervention ultimately led to the resolution of his symptoms.
CONCLUSION
This case highlights a novel mechanism of femoral nerve palsy and underscores the importance of prompt diagnosis for optimal outcomes. Clinicians must maintain a high index of suspicion for rare injury mechanisms to avoid delays in treatment.
引言
股神经损伤是腹部、盆腔和骨科手术中公认的并发症。它也可能由于骨盆骨折、腹部创伤和髋部损伤而发生。这些损伤常导致疼痛、无力和行走困难，严重影响患者的生活质量。
病例报告
我们报告一例72岁男性在从热水浴缸出来时发生股神经麻痹的病例。这种不寻常的损伤机制最初导致漏诊，延误了适当的治疗。经过广泛的诊断检查，股神经麻痹被确定为他残疾的原因。及时干预最终使他的症状得到缓解。
结论
本病例突出了股神经麻痹的一种新机制，并强调了及时诊断对取得最佳结果的重要性。临床医生必须对罕见的损伤机制保持高度怀疑，以避免治疗延误。
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