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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
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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
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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 .
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