NDLI: Total Hip Arthroplasty Complicated by a Gluteal Hematoma Resulting in Acute Foot Drop.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Khattar, Nicolas K. Parry, Phillip V. Agarwal, Nitin George, Hope K. Kretz, Eric S. Larkin, Timothy M. Gruen, Gary S. Abla, Adnan A.
Abstract	Total hip arthroplasty is a prevalent orthopedic intervention in the United States. Massive postoperative hematomas are a rare albeit serious complication of the procedure. Sequelae of these hematomas can include lower extremity paralysis from compression of the sciatic nerve. A 66-year-old woman taking aspirin and clopidogrel for coronary stents presented with a complete foot drop, paresthesias, and lower extremity pain 10 days after a total hip arthroplasty. The patient was initially seen by a neurology service at another hospital and thought to have lateral recess stenosis. At the authors' center, magnetic resonance imaging of the lumbar spine failed to show lateral recess stenosis. Urgent pelvic computed tomography showed a large hematoma and raised suspicion of sciatic nerve compression. Hip magnetic resonance imaging showed a right gluteal hematoma compressing the sciatic nerve. The patient was then taken to the operating room for the clot to be evacuated and was later referred for rehabilitation. Massive hematomas after total hip arthroplasty are an important consideration in the differential diagnosis of nontraumatic acute foot drop. Prompt diagnosis may correlate with improved neurological outcome and help reduce overall morbidity.
Related Links	https://www.healio.com/orthopedics/journals/ortho/2016-3-39-2/{f0b36cac-aedd-4321-a16f-1b67da38ff89}/total-hip-arthroplasty-complicated-by-a-gluteal-hematoma-resulting-in-acute-foot-drop
File Format	HTM / HTML
ISSN	01477447
e-ISSN	19382367
DOI	10.3928/01477447-20160307-04
Journal	Orthopedics
Issue Number	2
Volume Number	39
Language	English
Publisher	SLACK Incorporated
Publisher Date	2016-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Orthopedics Musculoskeletal
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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