Abstract
We report a rare case of a 33-year-old female patient who sustained bilateral closed femoral shaft fractures as a result of motor vehicle collision. The left femoral shaft fracture was associated with primary complete sciatic nerve palsy. The patient underwent intramedullary nail fixation of both femoral shaft fractures. Throughout the postoperative course, no functional recovery was observed. Nerve conduction studies and magnetic resonance imaging studies confirmed the diagnosis of a complete transection of the sciatic nerve at the level of the fracture site. Subsequently, the patient underwent surgical exploration and nerve grafting resulting in improved nerve function. Reports on complete sciatic nerve transections associated with closed femoral shaft fractures are limited. We document a unique injury and illustrate the patient’s management and outcome.
Highlights
Femoral shaft fractures are usually the result of a high-energy injuries
Reports of a complete sciatic nerve transection associated with a closed femoral shaft fracture are exceedingly rare in the pertinent literature
Primary neurologic injuries associated with femoral shaft fracture represent a rare event and reports in the literature on complete sciatic nerve transections associated with femoral shaft fractures are limited
Summary
Femoral shaft fractures are usually the result of a high-energy injuries. It is estimated that annually between 1.0 and 2.9 million femoral shaft fractures occur worldwide. Reports on peripheral nerve injuries as a result of a femoral shaft fracture are limited in the orthopaedic literature [1]. A few case reports have reported on injuries to the sciatic nerve associated with femoral shaft fractures [4,5,6,7]. Reports of a complete sciatic nerve transection associated with a closed femoral shaft fracture are exceedingly rare in the pertinent literature. The goal of this article is to illustrate a unique case of a 33 year-old female patient with a complete sciatic nerve transection as a result of a closed femoral shaft fracture
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
