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作 者:Taisei Sako Yuichirou Yokoyama Keiji Hasegawa Shintaro Tsuge Kazumasa Nakamura Akihito Wada Hiroshi Takahashi
机构地区:[1]Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan
出 处:《Open Journal of Orthopedics》2017年第11期375-381,共7页矫形学期刊(英文)
摘 要:We encountered a patient who developed femoral nerve paralysis due to iliopsoas muscle hematoma. Surgical removal of the hematoma is recommended for such cases, but conservative treatment may also be sufficient and there are no clear judgment criteria. An investigation of past reports showed that recovery was faster after surgery than after conservative treatment, regardless of the severity of paralysis, and that hematoma removal was especially effective for cases with severe paralysis. In our case, pain of the femoral nerve-innervated region was rapidly relieved by removal of the hematoma.We encountered a patient who developed femoral nerve paralysis due to iliopsoas muscle hematoma. Surgical removal of the hematoma is recommended for such cases, but conservative treatment may also be sufficient and there are no clear judgment criteria. An investigation of past reports showed that recovery was faster after surgery than after conservative treatment, regardless of the severity of paralysis, and that hematoma removal was especially effective for cases with severe paralysis. In our case, pain of the femoral nerve-innervated region was rapidly relieved by removal of the hematoma.
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