Mononeuropathy after surgery may occur and hereditary neuropathy with liability to pressure palsies is a possible pathological condition related to paresis after hip surgery. We present a case of 66-year-old man presenting severe weakness at inferior limb muscles after hip prosthesis revision. Clinic and electrophysiology showed severe right fibular nerve damage and ultrasound found a marked enlargement of the same nerve, associated with focal enlargements in other nerves. A diagnosis of hereditary neuropathy with liability to pressure palsies was suspected and confirmed by genetic test. The patient gradually recovered returning to a normal daily active life. Ultrasound was crucial for diagnosis. The suspicion and diagnosis of latent neuropathy, which can occur after surgical intervention, may lead to a better understand of the risks of the surgery, specific for the patient, and avoid the wrong attribution to surgical malpractice.

Logroscino, G., Del Tedesco, F., Cambise, C., Coraci, D., Donati, F., Santilli, V., Padua, L., Fibular nerve palsy after hip replacement: Not only surgeon responsibility. Hereditary neuropathy with liability to pressure palsies (HNPP) a rare cause of nerve liability, <<ORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH>>, 2016; 102 (4): 529-31-531. [doi:10.1016/j.otsr.2016.02.013] [http://hdl.handle.net/10807/87200]

Fibular nerve palsy after hip replacement: Not only surgeon responsibility. Hereditary neuropathy with liability to pressure palsies (HNPP) a rare cause of nerve liability

Logroscino, Giandomenico
Primo
;
Padua, Luca
Ultimo
2016

Abstract

Mononeuropathy after surgery may occur and hereditary neuropathy with liability to pressure palsies is a possible pathological condition related to paresis after hip surgery. We present a case of 66-year-old man presenting severe weakness at inferior limb muscles after hip prosthesis revision. Clinic and electrophysiology showed severe right fibular nerve damage and ultrasound found a marked enlargement of the same nerve, associated with focal enlargements in other nerves. A diagnosis of hereditary neuropathy with liability to pressure palsies was suspected and confirmed by genetic test. The patient gradually recovered returning to a normal daily active life. Ultrasound was crucial for diagnosis. The suspicion and diagnosis of latent neuropathy, which can occur after surgical intervention, may lead to a better understand of the risks of the surgery, specific for the patient, and avoid the wrong attribution to surgical malpractice.
Inglese
Logroscino, G., Del Tedesco, F., Cambise, C., Coraci, D., Donati, F., Santilli, V., Padua, L., Fibular nerve palsy after hip replacement: Not only surgeon responsibility. Hereditary neuropathy with liability to pressure palsies (HNPP) a rare cause of nerve liability, <<ORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH>>, 2016; 102 (4): 529-31-531. [doi:10.1016/j.otsr.2016.02.013] [http://hdl.handle.net/10807/87200]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/87200
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