Obturator Nerve Palsy in a Patient with Fascio Scapulo Humeral Dystrophy Undergoing Scapulopexy in Prone Position: A Rare Occurrence
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Abstract
All surgical positions carry some degree of position-related risks. The most common serious positional injuries are peripheral nerve injuries. We present a case of 23 years old man with obturator nerve injury with clinically evident sequelae following a scapulopexy of the right shoulder in prone position. Basis on our knowledge, no similar cases have been described in the literature. The purpose of this report is to increase awareness of this unreported potential complication in the prone position.
Warner MA, Warner ME, Martin JT. Ulnar neuropathy.Incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 1994; 81(6): 1332-40.
Pellegrino MJ, Johnson EW. Bilateral obturator nerve injuries during urologic surgery. Arch Phys Med Rehabil 1988; 69(1): 46-7.
Dimachkie MM, Ohanian S, Groves MD, Vriesendorp FJ.Peripheral nerve injury after brief lithotomy for transurethral collagen injection. Urology 2000; 56(4): 669.
Cucchiara RF, Faust RJ. Patient positioning. In: Miller R, editor. Anesthesia. 5th ed. New York: Churchill Livingstone; 2000. p. 1017-32.
Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999; 90(4): 1062-9.
Warner MA, Warner ME, Martin JT. Ulnar neuropathy.Incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 1994; 81(6): 1332-40.
Mecca RS. Postoperative recovery. In: Barash PG, CullenBF, Stoelting RK, editors. Clinical Anesthesia. 4th ed. Philadelphia: Lippincott, Williams & Wilkins; 2001. p. 1377-402.
Kleiner JB, Thorne RP. Obturator neuropathy caused by an aneurysm of the hypogastric artery. A case report. J BoneJoint Surg Am 1989; 71(9): 1408-9.
Kopell HP, Thompson WA. Peripheral entrapment neuropathies of the lower extremity. N Engl J Med 1960; 262: 56-60.
Cole JD, Bolhofner BR. Acetabular fracture fixation via amodified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results. Clin Orthop Relat Res 1994; (305): 112-23.
Mayo KA. Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures. Clin Orthop Relat Res 1994; (305): 31-7.
Melamed NB, Satya-Murti S. Obturator neuropathy after total hip replacement. Ann Neurol 1983; 13(5): 578-9.
Siliski JM, Scott RD. Obturator-nerve palsy resulting fromintrapelvic extrusion of cement during total hip replacement. Report of four cases. J Bone Joint Surg Am 1985; 67(8): 1225-8.
Vasilev SA. Obturator nerve injury: a review of management options. Gynecol Oncol 1994; 53(2): 152-5.
Kirdi N, Yakut E, Meriç A, Ayhan A. Physical therapy in a patient with bilateral obturator nerve paralysis after surgery.A case report. Clin Exp Obstet Gynecol 2000; 27(1): 59-60.
Barrick EF. Entrapment of the obturator nerve in association with a fracture of the pelvic ring. A case report. J Bone Joint Surg Am 1998; 80(2): 258-61.
Fishman JR, Moran ME, Carey RW. Obturator neuropathy after laparoscopic pelvic lymphadenectomy. Urology 1993; 42(2): 198-200.
Warwick R, Williams PL, editors. Gray's Anatomy. 37th ed. Edinburgh: Churchill Livingstone; 1989.
Collins VJ. Blocks of nerves of lower extremities. In: Rovenstine EA, editor. Fundamentals of Nerve Blocking. Philadelphia: Lea & Febiger; 1960. p. 266.
| Files | ||
| Issue | Vol 47, No 3 (2009) | |
| Section | Original Article(s) | |
| Keywords | ||
| Obturator nerve injury prone position | ||
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