Delayed sciatic palsy after total hip replacement: Case report

M. S. Edwards, Nicholas Barbaro, S. W. Asher, W. R. Murray

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

A 33-year-old woman with a 22-year history of juvenile rheumatoid arthritis developed right lower extremity sciatica 32 months after total hip arthroplasty. Physical examination and electromyography localized the abnormality to the sciatic nerve proximal to the midthigh level, involving the branch to the short head of the biceps femoris muscle. At surgical exploration, a sharp spur of methyl methacrylate, used to cement the acetabular prosthesis to the acetabulum, was found to have eroded through the lateral half of the sciatic nerve. The sciatica was relieved by neurolysis. The etiology of sciatic neuropathy after total hip replacement is reviewed.

Original languageEnglish (US)
Pages (from-to)61-63
Number of pages3
JournalNeurosurgery
Volume9
Issue number1
StatePublished - 1981
Externally publishedYes

Fingerprint

Sciatica
Hip Replacement Arthroplasties
Sciatic Nerve
Paralysis
Sciatic Neuropathy
Acetabulum
Juvenile Arthritis
Methacrylates
Electromyography
Arthroplasty
Physical Examination
Prostheses and Implants
Hip
Lower Extremity
Muscles
Hamstring Muscles

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Edwards, M. S., Barbaro, N., Asher, S. W., & Murray, W. R. (1981). Delayed sciatic palsy after total hip replacement: Case report. Neurosurgery, 9(1), 61-63.

Delayed sciatic palsy after total hip replacement : Case report. / Edwards, M. S.; Barbaro, Nicholas; Asher, S. W.; Murray, W. R.

In: Neurosurgery, Vol. 9, No. 1, 1981, p. 61-63.

Research output: Contribution to journalArticle

Edwards, MS, Barbaro, N, Asher, SW & Murray, WR 1981, 'Delayed sciatic palsy after total hip replacement: Case report', Neurosurgery, vol. 9, no. 1, pp. 61-63.
Edwards MS, Barbaro N, Asher SW, Murray WR. Delayed sciatic palsy after total hip replacement: Case report. Neurosurgery. 1981;9(1):61-63.
Edwards, M. S. ; Barbaro, Nicholas ; Asher, S. W. ; Murray, W. R. / Delayed sciatic palsy after total hip replacement : Case report. In: Neurosurgery. 1981 ; Vol. 9, No. 1. pp. 61-63.
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