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Complete paralysis of the quadriceps muscle caused by traumatic iliacus hematoma: a case report

Kazuya Tamai1, Taro Kuramochi, Hiroya Sakai

  • 1Department of Orthopaedic Surgery, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan.

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
|December 18, 2002
PubMed

Insights

Traumatic iliacus hematoma can cause quadriceps paralysis, potentially worsening over time. Prompt surgical decompression of the femoral nerve may restore function, even in cases of complete paralysis.

Area of Science:

  • Traumatology
  • Neurology
  • Surgical Anatomy

Background:

  • Traumatic iliacus hematoma is a rare but serious condition.
  • Iliacus hematomas can compress surrounding neurovascular structures, including the femoral nerve.

Observation:

  • A 15-year-old female presented with traumatic iliacus hematoma and complete quadriceps muscle paralysis.
  • Literature review indicates a progressive nature of quadriceps paralysis in such cases due to increased intracompartmental pressure.

Findings:

  • Incomplete quadriceps paralysis may evolve into complete paralysis within days or weeks.
  • Surgical decompression of the femoral nerve demonstrated positive outcomes, even with preoperative complete paralysis.

Implications:

  • Early recognition and intervention are crucial for managing traumatic iliacus hematoma.
  • Surgical decompression offers a viable treatment option for femoral nerve compromise, potentially reversing paralysis.

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