Güleç A, Büyükbebeci O
Gaziantep University, Faculty of Medicine, Turkey.
Acta Orthop Belg. 1996 Dec;62(4):218-21.
An unusual case of late superior gluteal nerve palsy complicating posterior fracture-dislocation of the hip is reported. Posterior fracture-dislocation of the hip was Grade V according to the classification of Thompson and Epstein, and Type IV according to the subclassification of Pipkin. The palsy resulted from traction by scar tissue formation. Excision of the scar tissue and decompression of the superior gluteal nerve led to complete recovery.
报告了一例罕见的晚期臀上神经麻痹合并髋关节后脱位骨折的病例。根据汤普森和爱泼斯坦的分类,髋关节后脱位骨折为V级,根据皮普金的亚分类为IV型。麻痹是由瘢痕组织形成的牵引所致。切除瘢痕组织并对臀上神经进行减压后,患者完全康复。