Femoral nerve palsy secondary to traumatic iliacus haematoma--a young athlete's injury

Murray, Iain R.; Perks, Fergus; Beggs, Ian; Moran, Matthew D.

doi:10.1136/bcr.05.2010.3045

Cited by 25 publications

(15 citation statements)

References 18 publications

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“…Haematomas in this region present insidiously and are not heralded by an obvious lesion or ecchymosis 6. On top of that, it is not spontaneously evacuated and causes chronic compression of the femoral nerve.…”

Section: Discussionmentioning

confidence: 99%

Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma

Nefiss¹,

Tebourbi

Maatoug

et al. 2018

BMJ Case Reports

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Paralysis of the femoral nerve secondary to iliopsoas haematoma is a rare post-traumatic complication. Because of the large differential diagnosis, a high level of suspicion is required for its early recognition. Treatment modalities are controversial due to the rarity of this entity. An 18-year-old student presented with complete paralysis of the knee extensors and a sensory deficit on the anterior side of the thigh 5 weeks after a sport accident. MRI of the lesser pelvis showed an iliopsoas haematoma. Surgical decompression was performed and recovery was complete at 6 months of follow-up.

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Section: Discussionmentioning

confidence: 99%

Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma

Nefiss¹,

Tebourbi

Maatoug

et al. 2018

BMJ Case Reports

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show abstract

“…Secondly, the femoral nerve is compressed as it passes through the closed fibrous compartment formed by the iliac fascia and ileum. The hematoma expands in this compartment and causes femoral nerve palsy (4).…”

Section: Discussionmentioning

confidence: 99%

Femoral nerve palsy due to Iliopsoas hematoma

Gürel¹,

Eser

Sarı

et al. 2016

Electron J Gen Med

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Femoral nerve palsy seconder to iliacus hematoma has been rarely reported in terms of blood coagulation abnormalities, either from anticoagulant medications or from hemophilia. The clinical symptoms vary from femoral neuropathy to fatal hypovolemic shock with increased used of anticoagulant agents; femoral nerve palsy subsequent to hemorrhage within the iliopsoas muscle has become a frequent clinical problem. In our case, a 73-year-old male patient presented to hospital with left leg pain and weakness. Lumbar magnetic resonance imaging (MRI) and abdomen computed tomography (CT) showed a left-sided iliopsoas hematoma. An extraperitoneal inguinal incision (Gibson incision) was made. The hematoma was superior of the external iliac artery in the iliopsoas muscle. It was nearly 8 cm deep and was drained and evacuated. After the operation, the left leg pain decreased, and the weakness of left leg improved (3/5).

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“…Treatment varies depending on the rate of hematoma formation, the size of the hematoma and the level of neurological injury. Conservative treatment is recommended in hemodynamically stable cases, with mild or moderate neurological deficit, with no active hemorrhage and with hematoma developing in association with bleeding disorder and anticoagulant therapy, while transarterial embolization or surgical decompression are recommended in other cases [10]. Whether or not surgery is performed, it is important to initiate a rehabilitation program in the early period in cases of femoral neuropathy.…”

Section: Discussionmentioning

confidence: 99%

“…Sciatic and femoral nerve damage in our patient developed in association with secondary to sacrum fracture and psoas hematoma related to intra-abdominal firearm injury. Retroperitoneal hematoma can be diagnosed using imaging methods such as USG and CT [10]. Hematoma was initially diagnosed in our patient with USG and CT, and USG was used during follow-up.…”

Section: Discussionmentioning

confidence: 99%

An unusual double crush syndrome: femoral and sciatic neuropathy secondary to intra-abdominal firearm

Telli¹,

Telli²

2017

Med-Science

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Sciatic and femoral nerve neuropathies are commonly encountered causes of lower extremity dysfunctions. The sciatic nerve originates from the L4-S3 spinal nerves of the lumbosacral plexus, and the femoral nerve from the L2-L4 roots of the lumbar plexus. Traumatic, compressive, ischemic, neoplastic or idiopathic factors can lead to neuropathies of these nerves. We report a case of a 17-year-old male patient undergoing right hemicolectomy surgery following an abdominal firearm injury and with weakness around the right hip, knee and ankle in the postoperative period and paresthesia in the right knee, lateral part of the leg and dorsum of the foot.

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Femoral nerve palsy secondary to traumatic iliacus haematoma--a young athlete's injury

Cited by 25 publications

References 18 publications

Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma

Femoral nerve paralysis complicating a post-traumatic iliopsoas haematoma

Femoral nerve palsy due to Iliopsoas hematoma

An unusual double crush syndrome: femoral and sciatic neuropathy secondary to intra-abdominal firearm

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