Long-term prognosis of nerve palsy after total hip arthroplasty: results of two-year-follow-ups and long-term results after a mean time of 8 years

Zappe, Björn; Glauser, Philippe M.; Majewski, M.; Stöckli, Hans Rudolf; Ochsner, P. E.

doi:10.1007/s00402-014-2038-0

Cited by 35 publications

(38 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sciatic neuropathy is a rare complication of total hip arthroplasty. 56 The pudendal nerve may become entrapped in an anatomical space known as the Alcock canal, and either perineal or posterior hip pain are possible sequelae with pudendal neuropathy. 57 In sciatic neuropathy, radicular pain may present along the course of the nerve as it travels from the sciatic notch, down the posterior aspect of the thigh, and, depending on tibial or common fibular (peroneal) nerve involvement, into the medial or lateral aspect of the leg and into the foot.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

show abstract

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…La RM muscular que se realizó en dos casos, mostró cambios degenerativos con un patrón largo dependiente (mayor compromiso mientras más distal es el músculo) en ambos territorios (tibial y peroneo), destacando nuevamente la mayor severidad en los dependientes del nervio peroneo. La RM, ha sido utilizada tanto en investigación preclínica en ratones 24 como en seres humanos, como un método para evaluar e incluso cuantificar el compromiso muscular 23 por denervación en neuropatías focales 22 (incluyendo neuropatía ciática) y en polineuropatías hereditarias 23 . Sin embargo, su uso clínico todavía es limitado.…”

Section: Discussionunclassified

Neuropatía ciática en pediatría: presentación clínica y seguimiento a largo plazo

et al. 2020

View full text Add to dashboard Cite

La neuropatía ciática es una entidad infrecuente y de difícil diagnóstico en Pediatría. Su evolución a largo plazo no ha sido claramente definida.Objetivo: Analizar la presentación clínica y evolución de un grupo de niños con neuropatía ciática.Pacientes y Método: Análisis retrospectivo de las características clínicas de pacientes pediátricos con neuropatía ciática atendidos en 2 hospitales de Santiago, entre 2014-2018. Se evaluó examen motor, trofismo muscular, reflejos osteotendíneos, marcha, sensibilidad y dolor. Se estudió neuroconducción de nervio ciático, electromiografía (EMG) y en 3 pacientes, Resonancia Magnética (RM).Resultados: Se incluyeron 6 pacientes, edad promedio 11,8 años. Hubo 2 causas traumáticas, 2 compresivas, 1 vascular y 1 tumoral. Los 6 pacientes debutaron con pie caído e hiporreflexia/arreflexia aquiliana; 5 pacientes presentaron dolor neuropático severo. La EMG mostró en todos los casos compromiso en nervios y musculatura dependientes del nervio ciático. En 2 casos se realizó RM de cintura pélvica y extremidades inferiores, mostrando compromiso muscular selectivo en pierna en territorio ciático. En 1 caso, se realizó RM de plexo lumbosacro, y luego estudio histológico, que concluyeron un tumor neural benigno. En los 3 pacientes que tuvieron seguimiento mayor a un año, se observaron secuelas motoras, con marcha alterada.Conclusión: La neuropatía ciática en este grupo fue secundaria a diversas etiologías, predominando las traumático-compresivas. En los 3 casos que tuvieron seguimiento a largo plazo se observaron secuelas motoras significativas. En la mayoría la lesión se asoció a causas prevenibles como accidentes y posicionamiento en niños con compromiso de conciencia, lo que resulta fundamental en la prevención de una patología con alto grado de secuelas.

show abstract

“…The purpose of the current study was to determine the incidence of the damage to the SGN in patients treated with PFN and PFN-A. The anatomic course of the SGN has been documented in various anatomical and clinical studies [9][10][11][12][13][14][15]20,21]. Branches of the nerve are within the surgical field during the gluteal splitting approach to the piriformis fossa as well as the greater trochanter tip.…”

Section: Discussionmentioning

confidence: 99%

“…SGN and abductor muscles may be compromised during the surgical procedures. Especially in total hip arthroplasty, the SGN is at risk during the split and retraction of the gluteus medius muscle [9][10][11]. It may also be compromised during closed antegrade insertion of femoral nails.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Superior Gluteal Nerve During Proximal Femoral Nailing

S�nmez¹

2017

Ann Clin Anal Med

View full text Add to dashboard Cite

ÖzetAmaç: Kalça cerrahisi sırasında süperior gluteal sinir etkilenebilir. Bu çalışma-da stabil olmayan trokanterik kırıklar nedeni ile proksimal femoral çivileme uygulanan hastalar, süperior gluteal sinir hasarı mevcutdiyetini ve bunun klinik bulgularını değerlendirmek amacıyla retrospektif olarak değerlendirilmiş-tir. Gereç ve Yöntem: Bu çalışmaya 25 hasta dahil edilmiştir (14 kadın, 11 erkek). Çalışmaya Hastanemiz Ortopedi Bölümü'ne başvuran proksimal femoral çivileme uygunana hastalar dahil edilmiştir. Kırık fiksasyonu için aynı dizayna sahip iki ayrı çivi ve aynı cerrahi teknik uygulanmıştır. Serebrovasküler hastalık hikayesi olan, polinöropatinin elektromyografik bulguları olan veya dejeneratif vertabral hastalığı bulunanan hastalar çalışmadan çıkartılmıştır. Hastalar klinik ve radyolojik olarak değerlendirilmiştir. Gluteus maksimus kasında akut denervasyon ile ilişkili bulgular ve motor ünite aksyon potansiyelindeki değişiklikler superior gluteal sinir hasarı bulguları olarak kabul edilmişir. Bulgular: Sekiz hasta yürüme sırasında destek kullanmıştır, bu hastaların üçün-de pozitif Trendelenburg belirtisi mevcttur ancak yalnızca bir hastada süpe-rior gluteal sinirde akut denervasyon bulguları saptanmıştır. Tartışma: Bu ça-lışmaya göre iyatrojenik sinir hasarı insidansı proksimal femoral çivilemenin nadir görülen bir komplikasyonudur. Yaşlı hastalarda sinir hasarından bağım-sız olarak, aksama ve destek kullanma ihtiyacı meydana gelebilir. Anahtar KelimelerHasar; Elektromyografi; Proksimal Femoral Çivileme; Süperior Gluteal Sinir Abstract Aim: The superior gluteal nerve may be compromised during hip surgery. We retrospectively evaluated the patients who underwent proximal femoral nailing for unstable trochanteric fractures in order to investigate the presence of superior gluteal nerve injury and its clinical findings. Material and Method: Twenty five patients (14 women, 11 men) were included in the study who had femoral nailing between January 2004 and March 2010 at Hamidiye Sisli Etfal Training and Research Hospital Department of Orthopaedics. Two different types of nails which have similar designs and surgical techniques were used for fracture fixation. Patients who had a history of cerebrovascular disease, electromyography findings of polyneuropathy, or degenerative vertebral disease were excluded from the study. Patients were evaluated clinically and radiologically. Findings related to acute denervation in the gluteus medius muscle and motor unit action potential changes were accepted as signs of superior gluteal nerve injury. Results: Eight patients were using support during walking and three of these patients had positive Trendelenburg sign, but only one patient had acute denervation signs of the superior gluteal nerve. Discussion: Based on the present study the incidence of iatrogenic nerve injury is a rare complication of proximal femoral nailing. Elderly patients, regardless of whether they have nerve injury, may limp and need to use a walking support.

show abstract

Long-term prognosis of nerve palsy after total hip arthroplasty: results of two-year-follow-ups and long-term results after a mean time of 8 years

Abstract: In contrast to the literature, an improvement beyond the limit of 2 years is probable and independent of the nerve affected.

Cited by 35 publications

References 16 publications

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Neuropatía ciática en pediatría: presentación clínica y seguimiento a largo plazo

Evaluation of the Superior Gluteal Nerve During Proximal Femoral Nailing

Contact Info

Product

Resources

About