scholarly journals Tourniquet-Related Iatrogenic Femoral Nerve Palsy after Knee Surgery: Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Juan Mingo-Robinet ◽  
Carlos Castañeda-Cabrero ◽  
Vicente Alvarez ◽  
José Miguel León Alonso-Cortés ◽  
Eva Monge-Casares
Keyword(s):  
Case Report ◽  
Nerve Conduction ◽  
Nerve Palsy ◽  
Axonal Neuropathy ◽  
Femoral Nerve ◽  
Knee Surgery ◽  
Emg Activity ◽  
Elderly Persons ◽  
Surgery Patient ◽  
Femoral Nerve Palsy

Purpose. Tourniquet-induced nerve injuries have been reported in the literature, but even if electromyography abnormalities in knee surgery are frequent, only two cases of permanent femoral nerve palsies have been reported, both after prolonged tourniquet time. We report a case of tourniquet-related permanent femoral nerve palsy after knee surgery.Case Report. We report a case of a 58-year-old woman who underwent surgical treatment of a patella fracture. Tourniquet was inflated to 310 mmHg for 45 minutes. After surgery, patient complained about paralysis of the quadriceps femoris with inability to extend the knee. Electromyography and nerve conduction study showed a severe axonal neuropathy of the left femoral nerve, without clinical remission after several months.Discussion. Even if complications are not rare, safe duration and pressure for tourniquet use remain a controversy. Nevertheless, subtle clinical lesions of the femoral nerve or even subclinical lesions only detectable by nerve conduction and EMG activity are frequent, so persistent neurologic dysfunction, even if rare, may be an underreported complication of tourniquet application. Elderly persons with muscle atrophy and flaccid, loose skin might be in risk for iatrogenic nerve injury secondary to tourniquet.

scholarly journals Femoral nerve palsy following kidney transplantation: A case report and review of the literature

2020 ◽  
Vol 3 (6) ◽  
pp. 248-251
Author(s):  
Shuhei Yamada ◽  
Kiyohiko Hotta ◽  
Masahiko Takahata ◽  
Daiki Iwami ◽  
Yuki Sugito ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Review Of The Literature ◽  
Femoral Nerve Palsy

scholarly journals P102 FEMORAL NERVE PALSY POST OPEN INGUINAL HERNIA REPAIR - CASE REPORT AND LITERATURE REVIEW

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Mohamed Salama ◽  
Mahmoud Salama ◽  
c. shabaz ◽  
Himanshu Yadav
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Ilioinguinal Nerve ◽  
Open Mesh Repair ◽  
Femoral Nerve Palsy

Abstract Aim and Introduction “Inguinal hernia repair is one of the most common surgical procedures performed worldwide. Postoperative pain control is very important and recently nerve block has gained popularity as an alternative to opioid use. Transient femoral nerve palsy (TNFP) is a potential complication of ilioinguinal nerve block, but it is extremely rare with only a few cases reported. We discuss a case of TNFP post-left inguinal hernia repair to highlight this rare complication.” Material and Methods “Case Report: A 17-year-old male with clinically and radiologically confirmed left inguinal hernia underwent open mesh repair (Lichtenstein repair). At the end of the procedure, he had ilioinguinal and iliohypogastric nerve block (10ml, 0.5% bupivacaine). In the recovery room, he developed numbness of his anteromedial aspect of his left thigh with weakness of hip flexion and paralysis of quadriceps with an inability to extend his knee. He was reviewed by the anaesthetic team and was admitted overnight. His symptoms resolved spontaneously within 18 hours. He was subsequently discharged and followed up in the surgical OPD 2 weeks, 6 weeks and 6 months later and there were no residual neurological symptoms.” Results and Conclusion “TNFP post open hernia repair is very rare. Mechanisms of femoral nerve injury include suturing, stapling, scar tissue entrapment or direct compression. Careful attention is needed to the technique of local anaesthesia post-operatively (avoid deep infiltration, lowest volume and concentration used, ultrasound use) to avoid potential morbidity if this complication is not recognised.”

Femoral Nerve Palsy caused by Iliopsoas Bursitis Associated with Osteonecrosis of the Femoral Head : A Case Report

2009 ◽  
Vol 21 (1) ◽  
pp. 82
Author(s):  
Phil Hyun Chung ◽  
Chung Soo Hwang ◽  
Suk Kang ◽  
Jong Pil Kim ◽  
Young Sung Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Iliopsoas Bursitis ◽  
Femoral Nerve Palsy

scholarly journals A Case Report of Femoral Nerve Palsy after Abdominal Total Hysterectomy

2008 ◽  
Vol 28 (7) ◽  
pp. 941-944
Author(s):  
Takayuki SUGANO ◽  
Kenichiro KODA ◽  
Masaki HARADA ◽  
Yasuo SATOH ◽  
Yasuo IDE ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Total Hysterectomy ◽  
Femoral Nerve Palsy
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