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External iliac artery thrombus masquerading as sciatic nerve palsy in anterior column fracture of the acetabulum

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Abstract

We report a case of ischemic neuropathy of the sciatic nerve in a patient with an anterior column fracture of the acetabulum operated by ilioinguinal approach. It resulted from occlusion of the blood supply to the sciatic nerve. There were no signs of a vascular insult until ischemic changes ensued on the 6th postoperative day on the lateral part of great toe. The patient underwent crossover femoro-femoral bypass grafting and there was a complete reversal of the ischemic changes at 6 months. The sciatic nerve palsy continued to recover until the end of 1 year; by which time the only deficit was a Grade 4 power in the extensor hallucis longus (EHL) and the extensor digitorum longus (EDL). There was no further recovery at 2 years followup.

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Authors and Affiliations

  1. Department of Radiodiagnosis, PGIMS, Rohtak, Haryana, India

    Sarita Magu

  2. Department of Cardiothoracic and Vascular Surgery, PGIMS, Rohtak, Haryana, India

    S. S. Lohchab

  3. Department of Orthopaedics, Paraplegia and Rehabilitation, PGIMS, Rohtak, Haryana, 124 001, India

    Narender Kumar Magu & Paritosh Gogna

Authors
  1. Narender Kumar Magu
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  2. Paritosh Gogna
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  3. Sarita Magu
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  4. S. S. Lohchab
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Correspondence to Narender Kumar Magu.

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Magu, N.K., Gogna, P., Magu, S. et al. External iliac artery thrombus masquerading as sciatic nerve palsy in anterior column fracture of the acetabulum. IJOO 49, 114–116 (2015). https://doi.org/10.4103/0019-5413.143922

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  • DOI: https://doi.org/10.4103/0019-5413.143922

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