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Entrapment of the Sciatic Nerve by the Femoral Neck Following Closed Reduction of a Hip Prosthesis A Case Report
Fraser J. Leversedge, MD; Richard H. Gelberman, MD; John C. Clohisy, MD
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Investigation performed at the Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University School of Medicine, St. Louis, Missouri

Fraser J. Leversedge, MD
Richard H. Gelberman, MD
John C. Clohisy, MD
Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300, St. Louis, MO 63110

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2002 Jul 01;84(7):1210-1213
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Extract

The prevalence of sciatic nerve injury associated with dislocation of a hip prosthesis is <0.1% 1-4 . The severity of the nerve injury has been found to be related to the chronicity of the dislocation prior to joint reduction and to the location of the injury on the basis of intraneural topography 2,4-6 . To our knowledge, no previous patients with entwinement of the sciatic nerve around a total hip prosthesis following closed reduction of a dislocation have been reported. We describe the case of a patient in whom sciatic nerve injury occurred after repeated closed reduction of a dislocated hip prosthesis.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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