The Journal of Bone and Joint Surgery (American) 84:1210-1213 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.
Entrapment of the Sciatic Nerve by the Femoral Neck Following Closed Reduction of a Hip Prosthesis
A Case Report
Fraser J. Leversedge, MD,
Richard H. Gelberman, MD and
John C. Clohisy, MD
Investigation performed at the Department of Orthopaedic Surgery,
Barnes-Jewish Hospital at Washington University School of Medicine,
St. Louis, Missouri
Fraser J. Leversedge, MD
Richard H. Gelberman, MD
John C. Clohisy, MD
Department of Orthopaedic Surgery, Barnes-Jewish Hospital at
Washington University School of Medicine, One Barnes-Jewish Hospital
Plaza, Suite 11300, St. Louis, MO 63110
The authors did not receive grants or outside funding in support
of their research or preparation of this manuscript. They did not
receive payments or other benefits or a commitment or agreement
to provide such benefits from a commercial entity. No commercial
entity paid or directed, or agreed to pay or direct, any benefits
to any research fund, foundation, educational institution, or other
charitable or nonprofit organization with which the authors are
affiliated or associated.
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Introduction
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The prevalence of sciatic nerve injury associated with dislocation
of a hip prosthesis is <0.1%
1-4
. The severity of the nerve injury has been found to be related to
the chronicity of the dislocation prior to joint reduction and to
the location of the injury on the basis of intraneural topography
2,4-6
. To our knowledge, no previous patients with entwinement of the
sciatic nerve around a total hip prosthesis following closed reduction
of a dislocation have been reported. We describe the case of a patient
in whom sciatic nerve injury occurred after repeated closed reduction
of a dislocated hip prosthesis.
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Case Report
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A sixty-six-year-old woman was referred to our clinic with a fourteen-month
history of complete sciatic nerve palsy associated with unrelenting
pain in the left lower extremity following closed reduction of a
dislocated total hip prosthesis. Previously, the patient underwent
a total hip arthroplasty through a posterior approach because of
degenerative . . . [Full Text of this Article]
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