Femoral Nerve Palsy in Pavlik Harness Treatment for Developmental Dysplasia of the Hip

2011 ◽  
Vol 93 (5) ◽  
pp. 493-499 ◽  
Author(s):  
M. Lucas Murnaghan ◽  
Richard H. Browne ◽  
Daniel J. Sucato ◽  
John Birch
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Developmental Dysplasia ◽  
Pavlik Harness ◽  
Femoral Nerve Palsy ◽  
Dysplasia Of The Hip

The Coexistence of Spontaneous Femoral Nerve Palsy and Developmental Dysplasia of the Hip in a Breech-Presenting Newborn

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Sema Ertan Birsel ◽  
İlker Abdullah Sarıkaya ◽  
Ozan Ali Erdal ◽  
Barış Görgün ◽  
Muharrem İnan
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Developmental Dysplasia ◽  
Femoral Nerve Palsy ◽  
Dysplasia Of The Hip

scholarly journals Transient femoral nerve palsy in spica cast treatment for developmental dysplasia of the hip

2018 ◽  
Vol 40 (2) ◽  
Author(s):  
Luisella Pedrotti ◽  
Barbara Bertani ◽  
Gabriella Tuvo ◽  
Redento Mora ◽  
Mario Mosconi ◽  
...  
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Female Child ◽  
Plaster Cast ◽  
Developmental Dysplasia ◽  
Congenital Dislocation ◽  
X Rays ◽  
Spica Cast ◽  
Femoral Nerve Palsy ◽  
Previously Treated

A 4 months and half female child come to our attention for congenital dislocation of the left hip, previously treated in another hospital with abduction bracing, without satisfactory results. After progressive longitudinal bilateral traction, closed reduction under general anesthesia was performed and a spica cast was applied in the so-called human position. The patients remained in the spica cast for 6 weeks and then the plaster cast was renewed in narcosis for another 6 weeks. Once the second cast has been removed left femoral nerve palsy was detected. Orthopaedic treatment was interrupted and in 3 months the nerve completely recovered, while the hip was still stable. We followed the child regularly since then, she is now five years old, she is totally asymptomatic, X-rays shows a residual acetabular dysplasia, with no sign of avascular necrosis.

scholarly journals Treatment of developmental dysplasia of the hip with the Pavlik harness in children under six months of age: indications, results and failures

2018 ◽  
Vol 12 (4) ◽  
pp. 308-316 ◽  
Author(s):  
H. Ömeroglu
Keyword(s):  
Large Scale ◽  
Hip Dysplasia ◽  
Treatment Initiation ◽  
Femoral Nerve ◽  
Developmental Dysplasia ◽  
Plain Radiography ◽  
Clinical Severity ◽  
Pavlik Harness ◽  
Dysplasia Of The Hip

Purpose The aim of this article is to review the current concepts in the indications, results and failure causes of the treatment of developmental dysplasia of the hip (DDH) with the Pavlik harness. Methods: The reported variables influencing the outcome in the Pavlik harness treatment were analyzed. Results Significant discrepancies about the clinical and radiological outcomes, the rates of failure and complications as well as the variables influencing the treatment outcome occur in the published studies due to the heterogeneity of the data and the differences in the methods used. The overall short-, mid- or long-term success rate of the treatment ranges from 45% to 100% and it is commonly over 75%. The rate of osteonecrosis of the femoral head ranges from 1% to 30%. Age, gender, laterality, radiological or clinical severity of the initial hip pathology and parents’ compliance are the commonly reported determinants of failure of the treatment. Conclusion The failure in treatment with the Pavlik harness is multifactorial, initial type of hip dysplasia being the most prominent followed by the treatment initiation age. This type of treatment cannot be considered as the best option in Graf IV hips (hip ultrasonography) or highly dislocated hips (plain radiography) and in infants older than three months of age, as the risk of failure and development of complications including osteonecrosis and femoral nerve palsy seem to increase in such circumstances. Large-scale, comparative studies including homogenous data are needed to answer the unsolved questions concerning indications.

Femoral Nerve Palsy Following Total Hip Arthroplasty: Incidence and Course of Recovery

2018 ◽  
Vol 33 (4) ◽  
pp. 1194-1199 ◽  
Author(s):  
Andrew N. Fleischman ◽  
Richard H. Rothman ◽  
Javad Parvizi
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Total Hip ◽  
Femoral Nerve Palsy

Spontaneous iliacus haematoma with femoral nerve palsy: an appeal to involve surgical teams early

2021 ◽  
Vol 14 (1) ◽  
pp. e239024
Author(s):  
Alexander M Crawford ◽  
Theodore T Guild ◽  
Brendan M Striano ◽  
Arvind G Von Keudell
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Surgical Decompression ◽  
Patient Benefit ◽  
Surgical Case ◽  
Compressive Neuropathy ◽  
Femoral Nerve Palsy ◽  
Surgical Teams ◽  
High Index Of Suspicion ◽  
Bridge Therapy

We report the case of a 68-year-old man who was placed on heparin as bridge therapy and subsequently developed an iliacus haematoma with associated femoral nerve palsy. His team involved the orthopaedic surgery team in delayed fashion after his symptom onset. Due to his active medical conditions, he did not undergo surgical decompression of his haematoma until late into his hospital course. Unfortunately, this patient did not regain meaningful function from his femoral nerve deficit. We believe this case highlights the high index of suspicion necessary for making this diagnosis as well as the repercussions of an untimely decompression for this acute, compressive neuropathy. Although we are surgeons and this is a surgical case, we hope to publish this case in a medical journal to raise awareness that surgical decompression does have a role in this diagnosis and should ultimately be pursued early in its course for optimal patient benefit.

Femoral Nerve Palsy Following Iliacus Hematoma

Orthopedics ◽  
2008 ◽  
Vol 31 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Jennifer M. Weiss ◽  
Vernon Tolo
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Femoral Nerve Palsy
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