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The Journal of Bone and Joint Surgery 83:589 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

Acute Sciatic and Femoral Neuritis Following Total Hip Arthroplasty

A Case Report

William M. Mihalko, MD, PhD, Matthew J. Phillips, MD and Kenneth A. Krackow, MD

Investigation performed at The Buffalo General Hospital, Buffalo, New York
William M. Mihalko, MD, PhD Orthopaedic Associates of Central New York and Department of Bioengineering and Neuroscience, Syracuse University, 475 Irving Avenue, Suite 418, Syracuse, NY 13210
Matthew J. Phillips, MD Kenneth A. Krackow, MD Department of Orthopaedic Surgery, The Buffalo General Hospital, 100 High Street, Buffalo, NY 14203
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Nerve palsies following total hip arthroplasty have been reported by a number of authors1-18. These reports have mainly described problems due to trauma during the operative approach4,6-8,11,16, the effects of lengthening of the lower extremity6,9,11,12,17, compression secondary to cement protrusion5,13 or hematoma formation7, and broken trochan­teric wires1. All nerves about the hip, including the sciatic1-3,5-7, obturator13, femoral8,9,11,14,17, peroneal7,8,11,17, and superior gluteal nerves4, have been involved. Most authors1,5,7,13 have described motor and sensory deficits, with little or no mention of pain5,7-9,11,12,17. To our knowledge, there have been no previous descriptions of cases in which pain was the sole, or even the primary, symptom. The unique feature of our case is the fact that pain was the only subjective problem and there was no objective evidence of any motor or sensory deficit.

The prevalence of sciatic nerve palsy has been reported . . . [Full Text of this Article]


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