Femoral Nerve Palsy with Patella Fracture

Abstract

Femoral neuropathy may be associated with various etiologies and can cause severe walking disability. We present the case of a 25-year-old woman who underwent surgical repair for a patella fracture and complained of lower extremity pain, paresthesia, and weakness postoperatively. Electromyography and magnetic resonance imaging (MRI) revealed partial peripheral neuropathy of the left femoral nerve associated with the patella fracture. To our knowledge, this is the first reported case of femoral neuropathy associated with a patella fracture.

Iliacus hematoma causing late femoral nerve palsy

“…Nerve palsy is observed after direct trauma to the nerve, pelvic surgeries, the presence of a mass compressing the nerve, femoral artery catheterization, and graft harvesting from the iliac wing. [10][11][12] Studies are reporting that femoral nerve palsy develops after a benign synovial cyst located near the nerve in this region, liposarcoma showing primary malignancy or metastatic features, and ewing sarcoma seen in the pediatric age group. [13][14][15][16] Our patient developed partial femoral nerve palsy with gradual progression secondary to hematoma after low-energy trauma, and this condition developed in the subacute period.…”

“…In addition to making a diagnosis, it is often more difficult to identify the underlying cause so that the right treatment can be provided. Nerve palsy is observed after direct trauma to the nerve, pelvic surgeries, the presence of a mass compressing the nerve, femoral artery catheterization, and graft harvesting from the iliac wing 10–12 . Studies are reporting that femoral nerve palsy develops after a benign synovial cyst located near the nerve in this region, liposarcoma showing primary malignancy or metastatic features, and ewing sarcoma seen in the pediatric age group 13–16 .…”

A Case Report of Neuropathic Pain and Unilateral Lower Extremity Weakness Following a Cardiac Arrest

“…Treatment involves physical therapy to strengthen the affected muscles, improve mobility, and aid in nerve recovery. In severe cases or when conservative measures fail, surgical interventions such as nerve decompression or repair are considered [ 7 ]. The individual's prognosis varies based on the extent of nerve damage, their initial clinical condition, and the effectiveness of the chosen treatment approach.…”