A Case Report of Bilateral Sciatic Neuropathy after Hyper-abduction of Hip Joint

Original Article

J Korean Assoc EMG Electrodiagn Med 2012;14(1):34-38.
Published online June 1, 2012.

Received: 10 January 2012 • Revised: 9 May 2012 • Accepted: 9 May 2012

Abstract

Bilateral sciatic neuropathy is known to be an uncommon disease. We report a case of 22-year-old female patient with bilateral sciatic nerve palsy after positioning both hip abduction. While the patient who is a musical actor was forward bent for stretch of both hips, her actor colleagues pressed her trunk suddenly and forcefully with the intention of trying to help. After then, she complained of hypesthesia and weakness on both lower extremities. Bilateral sciatic neuropathies were confirmed by physical examination and electrodiagnostic study. There is no hematoma or something to compressing the nerve through the magnetic resonance imaging study of lumbosacral spine including pelvis. We concluded that bilateral sciatic neuropathies in this case result from hyperstretching of sciatic nerves by both hip abduction.

Key Words: Bilateral sciatic neuropathy, Hyper-abduction, Stretching, Electromyography