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MRI findings of post-traumatic subperiosteal hematoma of the iliac bone with resultant femoral nerve palsy in an adolescent boy

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Abstract

Post-traumatic subperiosteal hematoma of the iliac bone may present insidiously without external evidence of bleeding or go undetected in the acute setting. In some cases, the patient may come to medical attention due to femoral nerve palsy rather than hip or groin pain. In this report, we describe a case of femoral nerve palsy caused by acute post-traumatic subperiosteal hematoma of the iliac bone using MRI to highlight the subperiosteal location. Anatomy of the femoral nerve is also discussed.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA

    Maegen Wallace

  2. Department of Orthopedic Surgery, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Richard Kruse

  3. Department of Pediatric Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA

    Eric P. Eutsler

  4. Department of Medical Imaging, Nemours/Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE, 19803, USA

    Lauren W. Averill

Authors
  1. Maegen Wallace
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  2. Richard Kruse
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  3. Eric P. Eutsler
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  4. Lauren W. Averill
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Correspondence to Lauren W. Averill.

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Wallace, M., Kruse, R., Eutsler, E.P. et al. MRI findings of post-traumatic subperiosteal hematoma of the iliac bone with resultant femoral nerve palsy in an adolescent boy. Pediatr Radiol 46, 1350–1353 (2016). https://doi.org/10.1007/s00247-016-3581-3

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  • DOI: https://doi.org/10.1007/s00247-016-3581-3

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