Abstract
Mononeuropathy after surgery may occur and hereditary neuropathy with liability to
pressure palsies is a possible pathological condition related to paresis after hip surgery.
We present a case of 66-year-old man presenting severe weakness at inferior limb
muscles after hip prosthesis revision. Clinic and electrophysiology showed severe right
fibular nerve damage and ultrasound found a marked enlargement of the same nerve,
associated with focal enlargements in other nerves. A diagnosis of hereditary neuropathy
with liability to pressure palsies was suspected and confirmed by genetic test. The patient
gradually recovered returning to a normal daily active life. Ultrasound was crucial for
diagnosis. The suspicion and diagnosis of latent neuropathy, which can occur after
surgical intervention, may lead to a better understand of the risks of the surgery, specific
for the patient, and avoid the wrong attribution to surgical malpractice.
Lingua originale | English |
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pagine (da-a) | 529-31-531 |
Rivista | ORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH |
Volume | 102 |
DOI | |
Stato di pubblicazione | Pubblicato - 2016 |
Keywords
- Hereditary neuropathy with liability to pressure palsies
- Hip surgery
- Nerve ultrasound
- Rehabilitation