Complete paralysis of the quadriceps muscle caused by traumatic iliacus hematoma: a case report

A 15-year-old girl who developed traumatic iliacus hematoma and complete paralysis of the quadriceps muscle is reported. The current case and literature review revealed that incomplete quadriceps paralysis associated with traumatic iliacus hematoma is likely to progress to complete paralysis in days...

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Veröffentlicht in:	Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2002-12, Vol.7 (6), p.713-716
Hauptverfasser:	Tamai, Kazuya, Kuramochi, Taro, Sakai, Hiroya, Iwami, Norio, Saotome, Koichi
Format:	Artikel
Sprache:	eng
Schlagworte:	Accidental Falls Adult Biological and medical sciences Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Female Femoral Nerve Follow-Up Studies Hematoma Hematoma - complications Hematoma - diagnosis Humans Iliacus muscle Ilium Magnetic Resonance Imaging Medical sciences Muscular Diseases - complications Muscular Diseases - diagnosis Muscular system Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - etiology Nervous system (semeiology, syndromes) Neurology Paralysis Paralysis - diagnosis Paralysis - etiology Psoas Muscles - injuries Risk Assessment Surgery Tomography, X-Ray Computed
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Zusammenfassung:	A 15-year-old girl who developed traumatic iliacus hematoma and complete paralysis of the quadriceps muscle is reported. The current case and literature review revealed that incomplete quadriceps paralysis associated with traumatic iliacus hematoma is likely to progress to complete paralysis in days or weeks as a result of increased intracompartmental pressure. However, surgical decompression of the femoral nerve could produce good results even in patients who have complete quadriceps paralysis preoperatively.
ISSN:	0949-2658 1436-2023
DOI:	10.1007/s007760200127