Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement.
نویسندگان
چکیده
We report a case of iatrogenic sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic at total hip replacement. To our knowledge, this is unreported in the orthopaedic literature. We consider sacral nerve blockade in patients undergoing total hip replacement to be undesirable and present guidelines for the management of peri-operative sciatic nerve injury.
منابع مشابه
Neurotoxicity of perineural vs intraneural–extrafascicular injection of liposomal bupivacaine in the porcine model of sciatic nerve block†
Liposomal bupivacaine is a prolonged-release local anaesthetic, the neurotoxicity of which has not yet been determined. We used quantitative histomorphometric and immunohistochemical analyses to evaluate the neurotoxic effect of liposomal bupivacaine after perineural and intraneural (extrafascicular) injection of the sciatic nerve in pigs. In this double-blind prospective randomised trial, 4 ml...
متن کاملSciatic nerve palsy secondary to postoperative haematoma in primary total hip replacement.
Sciatic nerve palsy is a recognised complication of primary total hip replacement. In our unit this complication was rare with an incidence of < 0.2% in the past ten years. We describe six cases of sciatic nerve palsy occurring in 355 consecutive primary total hip replacements (incidence 1.69%). Each of these palsies was caused by post-operative haematoma in the region of the sciatic nerve. Cas...
متن کاملIntraneural injection during anterior approach for sciatic nerve block.
To the Editor:—We read with interest the case report by Sala-Blanch et al. The authors describe an unorthodox but interesting treatment for patients undergoing continuous sciatic nerve block that raises several concerns. In short, using computed tomographic imaging without clear clinical indication, the authors documented that nerve stimulator–guided needle placement during sciatic nerve block ...
متن کامل11 Cases of Sciatic Nerve Injury Following Intragluteal Injection of Diclofenac
Abstract Sciatic nerve which is responsible for innervation of major part of the lower limb, can be injured with various causes. One of the common sites of this nerve injury is gluteal region. This injury occurs following hip arthroplasty and other surgeries of the hip region, Fx - dislocation of the pelvis and femur, acute external compression of the nerve, intragluteal injections, and some o...
متن کاملNo clinical or electrophysiologic evidence of nerve injury after intraneural injection during sciatic popliteal block.
BACKGROUND Intraneural injection during nerve-stimulator-guided sciatic block at the popliteal fossa may be a common occurrence. Although intraneural injections have not resulted in clinically detectable neurologic injury in small studies in human subjects, intraneural injections result in postinjection inflammation in animal models. This study used clinical, imaging, and electrophysiologic mea...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 89 2 شماره
صفحات -
تاریخ انتشار 2007