Sciatic Neuropathy caused by Callus following Pelvic Reconstruction Surgery - A Case Report -

Case Report

J Korean Assoc EMG Electrodiagn Med 2011;13(2):122-125.
Published online December 1, 2011.

Received: 16 March 2011 • Revised: 7 July 2011 • Accepted: 27 July 2011

Abstract

Sciatic neuropathy is caused by many reasons; such as fractures of pelvic bone or femur. We report a case of a sciatic neuropathy which has occurred six months later after pelvic fracture surgery. He was a previous healthy 54 year-old male involved in a pedestrian traffic accident. After 2 weeks, an open reduction and an internal fixation operation was performed under the diagnosis of right pelvic acetabular fracture. Six months after operation, he complained about numbness and paresthesia in dorsum and sole of right foot and showed decreased muscle power to "fair" of knee flexion, ankle dorsi- and plantar flexion. In electrophysiologic study, right sciatic neuropathy was checked, and pelvis X-ray showed callus formation in plates inserted for internal fixation of the greater sciatic notch area. After conservative treatment, a patient showed clinical evidence of recovery within 1 year period of follow up.

Key Words: Sciatic neuropathy, Pelvic bone fracture, Callus