PMID- 15083272
OWN - NLM
STAT- MEDLINE
DCOM- 20041112
LR  - 20181113
IS  - 0085-4530 (Print)
IS  - 0085-4530 (Linking)
VI  - 33
IP  - 7
DP  - 2004 Jul
TI  - [Delayed paresis of the femoral nerve after total hip arthroplasty associated 
      with hereditary neuropathy with liability to pressure palsies (HNPP)].
PG  - 836-40
AB  - Delayed lesions of the femoral or sciatic nerve are a rare complication after 
      total hip arthroplasty. Several cases in association with cement edges, scar 
      tissue, broken cerclages, deep hematoma, or reinforcement rings have been 
      published. We report about a 62-year-old female who developed a pure motor 
      paresis of the quadriceps muscle 2 weeks after total hip arthroplasty. After 
      electrophysiological evaluation had revealed an isolated femoral nerve lesion, 
      revision of the femoral nerve was performed. During operative revision no 
      pathologic findings could be seen. One week later the patient developed paralysis 
      of the left wrist and finger extensors after using crutches. Electrophysiological 
      evaluation revealed several nerve conduction blocks in physiological entrapments 
      and the diagnosis of hereditary neuropathy with liability to pressure palsies 
      (HNPP) was established. Hereditary neuropathy with liability to pressure palsies 
      (HNPP) is a rare disease with increased vulnerability of the peripheral nerve 
      system with mostly reversible sensorimotor deficits. It should be taken into 
      consideration in cases of atypical findings of compression syndromes of 
      peripheral nerves or delayed neuropathy, e. g., after total hip arthroplasty.
FAU - Schuh, A
AU  - Schuh A
AD  - Orthopadische Klinik Rummelsberg, Schwarzenbruck. Schuh-Alexander@t-online.de
FAU - Durr, V
AU  - Durr V
FAU - Weier, H
AU  - Weier H
FAU - Zeiler, G
AU  - Zeiler G
FAU - Winterholler, M
AU  - Winterholler M
LA  - ger
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
TT  - Tomakulose Neuropathie (HNPP) als Ursache einer verzogerten Parese des N. 
      femoralis nach Hufttotalendoprothesenimplantation.
PL  - Germany
TA  - Orthopade
JT  - Der Orthopade
JID - 0331266
SB  - IM
MH  - *Arthroplasty, Replacement, Hip
MH  - Diagnosis, Differential
MH  - Female
MH  - Femoral Neuropathy/*diagnosis/genetics/surgery
MH  - Follow-Up Studies
MH  - Humans
MH  - Middle Aged
MH  - Nerve Compression Syndromes/*diagnosis/genetics/surgery
MH  - Neurologic Examination
MH  - Osteoarthritis, Hip/*surgery
MH  - Paralysis/*diagnosis/genetics/surgery
MH  - Postoperative Complications/*diagnosis/surgery
MH  - Reoperation
EDAT- 2004/04/15 05:00
MHDA- 2004/11/13 09:00
CRDT- 2004/04/15 05:00
PHST- 2004/04/15 05:00 [pubmed]
PHST- 2004/11/13 09:00 [medline]
PHST- 2004/04/15 05:00 [entrez]
AID - 10.1007/s00132-004-0652-1 [doi]
PST - ppublish
SO  - Orthopade. 2004 Jul;33(7):836-40. doi: 10.1007/s00132-004-0652-1.