Tardy sciatic nerve palsy following apophyseal avulsion fracture of the ischial tuberosity. Case report.
This 4 1-year-old man presented with a 2-year history of symptoms and signs of sciatic nerve compression. Imaging studies revealed a large ossified fragment within the biceps muscle of the thigh abutting the sciatic nerve at the level of the lesser trochanter. The bony fragment resulted from an unrecognized apophyseal avulsion fracture of the ischial tuberosity, which the patient had sustained while sprinting 27 years earlier. External neurolysis of the sciatic nerve and excision of the mass led to a successful outcome.
Spinner
R J
RJ
Department of Neurologic Surgery, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
Atkinson
J L
JL
Wenger
D E
DE
Stuart
M J
MJ
D000328:Adult; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology*; D009999:Ossification, Heterotopic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications; D012584:Sciatic Nerve; D013848:Thigh / Q000000981:diagnostic imaging; D013997:Time Factors; D014057:Tomography, X-Ray Computed