Alpha 2.0
Login Register
» Articles » PMID: 28840398

Delayed Sciatic Nerve Compression Following Hamstring Injury

Overview
Journal Eur J Orthop Surg Traumatol
Specialty Orthopedics
Date 2017 Aug 26
PMID 28840398
Citations 3
Authors
J Macdonald
S E McMahon
D OLongain
J D Acton
Affiliations
Soon will be listed here.
Abstract

A 47-year-old man presented three months post-hamstring injury with posterior thigh and buttock pain, paraesthesia over the lateral part of the leg and dorsum of the foot and a foot drop. MRI identified a hamstring muscle injury with a lesion surrounding 20 cm of the proximal sciatic nerve consistent with an extensive haematoma. Surgical debridement and release was planned; however, his signs spontaneously resolved with rest, physiotherapy and splintage prior to surgery. There have been no other reports of a sciatic nerve lesion with neurological signs resolving without surgical exploration.

Citing Articles

MRI findings correlate with difficult dissection during proximal hamstring repair and with postoperative sciatica.

Lin Y, Sahr M, Lan R, Nguyen J, Tan E, Sneag D Skeletal Radiol. 2024; 53(11):2449-2457.

PMID: 38581584 DOI: 10.1007/s00256-024-04668-6.

Sciatic Nerve Compression after a Chronic Proximal Hamstring Tear: A Report of Two Cases and a Narrative Review of the Literature.

Gattringer M, Schalamon G, Pichler H, Breulmann F, Buerger H, Mattiassich G Life (Basel). 2023; 13(8).

PMID: 37629619 PMC: 10455575. DOI: 10.3390/life13081762.

Current concepts in peripheral nerve surgery.

Beris A, Gkiatas I, Gelalis I, Papadopoulos D, Kostas-Agnantis I Eur J Orthop Surg Traumatol. 2018; 29(2):263-269.

PMID: 30483968 DOI: 10.1007/s00590-018-2344-2.

References
1.
Mattiussi G, Moreno C . Treatment of proximal hamstring tendinopathy-related sciatic nerve entrapment: presentation of an ultrasound-guided "Intratissue Percutaneous Electrolysis" application. Muscles Ligaments Tendons J. 2016; 6(2):248-252. PMC: 5115258. DOI: 10.11138/mltj/2016.6.2.248. View
2.
Blasier R, Morawa L . Complete rupture of the hamstring origin from a water skiing injury. Am J Sports Med. 1990; 18(4):435-7. DOI: 10.1177/036354659001800419. View
3.
Carmody C, Prietto C . Entrapment of the sciatic nerve as a late sequela of injury to the hamstring muscles. A case report. J Bone Joint Surg Am. 1995; 77(7):1100-2. DOI: 10.2106/00004623-199507000-00020. View
4.
Haus B, Arora D, Upton J, Micheli L . Nerve Wrapping of the Sciatic Nerve With Acellular Dermal Matrix in Chronic Complete Proximal Hamstring Ruptures and Ischial Apophyseal Avulsion Fractures. Orthop J Sports Med. 2016; 4(3):2325967116638484. PMC: 4814943. DOI: 10.1177/2325967116638484. View
5.
Saal J, Dillingham M, Gamburd R, Fanton G . The pseudoradicular syndrome. Lower extremity peripheral nerve entrapment masquerading as lumbar radiculopathy. Spine (Phila Pa 1976). 1988; 13(8):926-30. View