Pudendal Neurapraxia After Proximal Hamstring Repair: A Case Report
Nareena Imam1, Zachary T Grace2, Chris Cherian1,2
1Rothman Orthopaedic Institute, Paramus, New Jersey.
JBJS Case Connector
|March 2, 2023
Summary
Proximal hamstring tendon repair can rarely cause pudendal nerve injury, leading to testicular pain. While symptoms may persist, surgical repair can resolve hamstring pain.
Area of Science:
- Orthopedic Surgery
- Neurology
- Sports Medicine
Background:
- The pudendal nerve's proximity to hamstring muscles poses a risk during surgical repair.
- Pudendal nerve injury is a rare but potential complication of proximal hamstring tendon repair.
Observation:
- A 56-year-old male developed intermittent testicular pain post-hamstring repair.
- The pain was attributed to pudendal nerve neurapraxia.
Findings:
- At 1-year follow-up, the patient reported significant symptom improvement.
- Hamstring pain resolved completely, though pudendal nerve discomfort persisted.
Implications:
- Surgeons should consider pudendal nerve injury as a differential diagnosis for testicular pain after hamstring repair.
- Awareness of this complication is crucial for accurate diagnosis and patient management.
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