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医源性臀上神经单神经病

Iatrogenic superior gluteal mononeuropathy.

作者信息

Donofrio P D, Bird S J, Assimos D G, Mathes D D

机构信息

Department of Neurology, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27157-1078, USA.

出版信息

Muscle Nerve. 1998 Dec;21(12):1794-6. doi: 10.1002/(sici)1097-4598(199812)21:12<1794::aid-mus27>3.0.co;2-b.

Abstract

Injuries to the superior gluteal nerve (SGN) have been reported as a result of trauma, pyriformis muscle entrapment, injections, and lumbar lordosis and inadequate back stabilization. We report 3 patients who developed isolated SGN injuries, 1 after a partial nephrectomy and 2 following revision of a total hip arthroplasty. SGN should be suspected in anyone developing an abnormal gait after hip or pelvic surgery or after prolonged lateral decubitus positioning.

摘要

据报道,臀上神经(SGN)损伤可由创伤、梨状肌卡压、注射以及腰椎前凸和背部稳定性不足引起。我们报告了3例孤立性SGN损伤患者,1例发生在部分肾切除术后,2例发生在全髋关节置换翻修术后。对于任何在髋部或骨盆手术后或长期侧卧位后出现异常步态的患者,都应怀疑有SGN损伤。

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