Fibular nerve palsy after hip replacement: Not only surgeon responsibility. Hereditary neuropathy with liability to pressure palsies (HNPP) a rare cause of nerve liability

Luca Padua, Giandomenico Logroscino, D. Coraci, V. Santilli

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

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 originaleEnglish
pagine (da-a)529-31-531
RivistaORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH
Volume102
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Hereditary neuropathy with liability to pressure palsies
  • Hip surgery
  • Nerve ultrasound
  • Rehabilitation

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