alexa Complete Sciatic Nerve Transection Associated with a Closed Femoral Shaft Fracture
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

Complete Sciatic Nerve Transection Associated with a Closed Femoral Shaft Fracture

Boris A Zelle*, Antonio J Webb and Douglas T Cromack
Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, University of Texas Health Science Center at San Antonio, USA
Corresponding Author : Boris A Zelle
Department of Orthopaedic Surgery
Division of Orthopaedic Trauma, University of Texas
Health Science Center at San Antonio, United States
Tel: 2107434102
E-mail: [email protected]
Received March 06, 2016; Accepted April 05, 2016; Published March 08, 2016
Citation: Zelle BA, Webb AJ, Cromack DT (2016) Complete Sciatic Nerve Transection Associated with a Closed Femoral Shaft Fracture. J Trauma Treat 5:298. doi:10.4172/2167-1222.1000298
Copyright: © 2016 Zelle BA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We report a rare case of a 33-year-old female patient who sustained bilateral closed femoral shaft fractures as a result of motor vehicle collision. The left femoral shaft fracture was associated with primary complete sciatic nerve palsy. The patient underwent intramedullary nail fixation of both femoral shaft fractures. Throughout the postoperative course, no functional recovery was observed. Nerve conduction studies and magnetic resonance imaging studies confirmed the diagnosis of a complete transection of the sciatic nerve at the level of the fracture site. Subsequently, the patient underwent surgical exploration and nerve grafting resulting in improved nerve function. Reports on complete sciatic nerve transections associated with closed femoral shaft fractures are limited. We document a unique injury and illustrate the patient’s management and outcome.

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