Delayed sciatic nerve compression following hamstring injury.

Macdonald, J; McMahon, S E; O'Longain, D; Acton, J D · Eur J Orthop Surg Traumatol · 2018

case_report · Level V

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Abstract

A 47-year-old man presented three months post-hamstring injury with posterior thigh and buttock pain, paraesthesia over the lateral part of the leg and dorsum of the foot and a foot drop. MRI identified a hamstring muscle injury with a lesion surrounding 20 cm of the proximal sciatic nerve consistent with an extensive haematoma. Surgical debridement and release was planned; however, his signs spontaneously resolved with rest, physiotherapy and splintage prior to surgery. There have been no other reports of a sciatic nerve lesion with neurological signs resolving without surgical exploration.

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