PMID- 27084090 OWN - NLM STAT- MEDLINE DCOM- 20171011 LR - 20181202 IS - 1877-0568 (Electronic) IS - 1877-0568 (Linking) VI - 102 IP - 4 DP - 2016 Jun TI - Fibular nerve palsy after hip replacement: Not only surgeon responsibility. Hereditary neuropathy with liability to pressure palsies (HNPP) a rare cause of nerve liability. PG - 529-31 LID - S1877-0568(16)30002-0 [pii] LID - 10.1016/j.otsr.2016.02.013 [doi] AB - 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. CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved. FAU - Logroscino, G AU - Logroscino G AD - Department of Geriatrics, Neuroscience and Orthopaedics; Universita Cattolica del Sacro Cuore, 1, Largo Francesco Vito, 00168 Roma, Italy. FAU - Del Tedesco, F AU - Del Tedesco F AD - Department of Geriatrics, Neuroscience and Orthopaedics; Universita Cattolica del Sacro Cuore, 1, Largo Francesco Vito, 00168 Roma, Italy. FAU - Cambise, C AU - Cambise C AD - Department of Geriatrics, Neuroscience and Orthopaedics; Universita Cattolica del Sacro Cuore, 1, Largo Francesco Vito, 00168 Roma, Italy. FAU - Coraci, D AU - Coraci D AD - Board of Physical Medicine and Rehabilitation, Department of Orthopaedic Science, "Sapienza" University, 5, Piazzale Aldo Moro, 00185 Roma, Italy; Don Carlo Gnocchi Foundation, 6, Piazzale Morandi, 20121 Milano, Italy. FAU - Donati, F AU - Donati F AD - Department of Geriatrics, Neuroscience and Orthopaedics; Universita Cattolica del Sacro Cuore, 1, Largo Francesco Vito, 00168 Roma, Italy. FAU - Santilli, V AU - Santilli V AD - Board of Physical Medicine and Rehabilitation, Department of Orthopaedic Science, "Sapienza" University, 5, Piazzale Aldo Moro, 00185 Roma, Italy; Physical Medicine and Rehabilitation Unit, Azienda Policlinico Umberto I, 155, Viale del Policlinico, 00161 Roma, Italy. FAU - Padua, L AU - Padua L AD - Department of Geriatrics, Neuroscience and Orthopaedics; Universita Cattolica del Sacro Cuore, 1, Largo Francesco Vito, 00168 Roma, Italy; Don Carlo Gnocchi Foundation, 6, Piazzale Morandi, 20121 Milano, Italy. Electronic address: lpadua@rm.unicatt.it. LA - eng PT - Case Reports PT - Journal Article DEP - 20160412 PL - France TA - Orthop Traumatol Surg Res JT - Orthopaedics & traumatology, surgery & research : OTSR JID - 101494830 RN - Tomaculous neuropathy SB - IM MH - Aged MH - Arthrogryposis/*complications MH - Arthroplasty, Replacement, Hip/*adverse effects MH - Hereditary Sensory and Motor Neuropathy/*complications MH - Humans MH - Male MH - Paralysis/*etiology MH - Peroneal Nerve/diagnostic imaging/*physiopathology MH - Peroneal Neuropathies/*etiology OTO - NOTNLM OT - Hereditary neuropathy with liability to pressure palsies OT - Hip surgery OT - Nerve ultrasound OT - Rehabilitation EDAT- 2016/04/17 06:00 MHDA- 2017/10/12 06:00 CRDT- 2016/04/17 06:00 PHST- 2015/10/27 00:00 [received] PHST- 2016/02/06 00:00 [revised] PHST- 2016/02/09 00:00 [accepted] PHST- 2016/04/17 06:00 [entrez] PHST- 2016/04/17 06:00 [pubmed] PHST- 2017/10/12 06:00 [medline] AID - S1877-0568(16)30002-0 [pii] AID - 10.1016/j.otsr.2016.02.013 [doi] PST - ppublish SO - Orthop Traumatol Surg Res. 2016 Jun;102(4):529-31. doi: 10.1016/j.otsr.2016.02.013. Epub 2016 Apr 12.