0
Case Reports   |    
Femoral Neuropathy and Iliopsoas Hematoma as a Result of Postpartum Factor-VIII Inhibitor Syndrome A Case Report
Valerie A. Tokarz, DO; James E. McGrory, MD; Joel D. Stewart, MD; Artis R. Croslin, MD
View Disclosures and Other Information
Investigation performed at the Departments of Orthopaedic Surgery and Hematology, Naval Medical Center Portsmouth, Portsmouth, Virginia

Valerie A. Tokarz, DO
Joel D. Stewart, MD
Artis R. Croslin, MD
Departments of Orthopaedic Surgery (V.A.T. and J.D.S.) and Hematology (A.R.C.), Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197

James E. McGrory, MD
Texas Arthroscopic Surgery Clinic, 800 8th Avenue, Suite 528, Fort Worth, TX 76104

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.

The views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of the Navy, the Department of Defense, or the United States Government.

J Bone Joint Surg Am, 2003 Sep 01;85(9):1812-1815
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Femoral neuropathy secondary to iliopsoas hematoma has been documented in a variety of case reports and studies 1-3 . Iliopsoas hemorrhage and femoral neuropathy can develop without any evidence of trauma in individuals who have hemophilia, particularly in those who have the acquired form of the disease and a factor inhibitor. Patients experience pain deep in the groin, and some present with contracture of the hip in acute flexion. Prolonged insult may result in permanent paresthesias, weakness, and atrophy of the quadriceps muscle. Prompt diagnosis is important because the risk of permanent injury is decreased when therapy is initiated rapidly 2 .
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Hip
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    11/15/2013
    Louisiana - Ochsner Health System
    05/03/2012
    California - UCLA/OH Department of Orthopaedic Surgery
    01/08/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center