| Sciatic nerve release following fracture or reconstructive surgery of the acetabulum. | |
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MedLine Citation:
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PMID: 17606779 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Sciatic neuropathy associated with acetabular fractures can result in disabling long-term symptoms. The purpose of this retrospective study was to evaluate the effect of sciatic nerve release on sciatic neuropathy associated with acetabular fractures and reconstructive acetabular surgery. METHODS: Between 2000 and 2004, ten patients with sciatic neuropathy associated with an acetabular fracture were treated with release of the sciatic nerve from scar tissue and heterotopic bone. Additional surgical procedures included open reduction and internal fixation of the acetabulum (five patients), removal of hardware and total hip arthroplasty (three patients), and removal of hardware alone (one patient). The average age of the patients was forty-three years. All patients were followed with serial examinations and assessments for a minimum of one year (average, twenty-six months). RESULTS: All patients had partial to complete relief of radicular pain, of diminished sensation, and of paresthesias after the nerve release. Four of seven patients with motor loss and two of five patients with a footdrop demonstrated improvement in function after the nerve release. No patient had evidence of worsening on neurologic examination after the release. CONCLUSIONS: Sciatic nerve release during reconstructive acetabular surgery can decrease the sensory symptoms of preoperative sciatic neuropathy associated with a previous acetabular fracture. Motor symptoms, however, are less likely to resolve following nerve release. |
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Authors:
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Paul S Issack; Jose B Toro; Robert L Buly; David L Helfet |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 89 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-07-03 Completed Date: 2007-09-06 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: 1432-7 Citation Subset: AIM; IM |
Affiliation:
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The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. PSIssack@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acetabulum
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injuries*,
surgery* Adolescent Adult Aged Female Hip Fractures / complications*, surgery* Humans Male Middle Aged Reconstructive Surgical Procedures / adverse effects* Retrospective Studies Sciatic Neuropathy / etiology*, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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