title: Iliacus haematoma causing femoral nerve palsy: an unusual trampolining injury.
abstract: We report the case of a 15-year-old boy who presented to accident and emergency following a trampolining injury. Initially, the patient was discharged, diagnosed with a soft tissue injury, but he re-presented 48 h later with worsening low back pain and neurological symptoms in the left leg. Subsequent MRI revealed a left iliacus haematoma causing a femoral nerve palsy. The patient was managed conservatively and by 6 months post injury all symptoms had resolved. This is the first reported case of an iliacus haematoma causing a femoral nerve palsy, after a trampolining injury. We believe this case highlights to our fellow clinicians the importance of a detailed history when assessing patients with trampolining injuries to evaluate the true force of injury. It also acts as a reference for clinicians in managing similar cases in future.
authors.affiliation: University Hospital of North Durham, Durham, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Chambers
authors.affiliation: Pennine Acute Hospitals NHS Trust, Manchester, UK.
authors.forename: Andrew James
authors.initials: AJ
authors.lastname: Berg
authors.affiliation: University Hospital of North Durham, Durham, UK.
authors.forename: Andreea
authors.initials: A
authors.lastname: Lupu
authors.affiliation: University Hospital of North Durham, Durham, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Jennings
mesh_terms: D000293:Adolescent; D020428:Femoral Neuropathy / Q000209:etiology*; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries; D009135:Muscular Diseases / Q000150:complications* / Q000175:diagnosis; D010243:Paralysis / Q000209:etiology*; D010988:Play and Playthings / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*