Sciatic Nerve Entrapment and Transection in a Combined Pelvic Ring-Acetabular Fracture

Wuellner, John C.; Shieh, Alvin K.; Eastman, Jonathan Garland

doi:10.2106/jbjs.cc.20.00969

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…26,27 There have been reports of sciatic nerve transection in a transverse posterior wall fracture-dislocation and sciatic nerve entrapment in an associated both-column fractures without a posterior dislocation. 28,29 When reviewing the injury imaging, surgeons should be mindful of residual fracture displacement near the greater sciatic notch indicating soft-tissue and potential nerve entrapment. The sciatic nerve can be traced using soft-tissue windows.…”

Section: Sciatic Nervementioning

confidence: 99%

Imaging of Pelvic and Acetabular Trauma: Part 2, Soft-Tissue Findings

Eastman

Warner

Saiz

et al. 2023

J Am Acad Orthop Surg

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Pelvic ring injuries and acetabular fractures can be complex and challenging to treat. Orthopaedic trauma surgeons scrutinize pelvic radiographs and accompanying CT images for the osseous details that help create a thorough patient-specific preoperative plan. While the osseous details are incredibly important, the surrounding soft-tissue structures are equally as critical and can have a tremendous effect on both the patient and the surgeon. These findings may change surgery timing, dictate the need for additional surgeons or multidisciplinary teams, and determine the treatment sequence. The structures and potential clinical findings reviewed and demonstrated through example images should be sought out during physical examination and correlative preoperative imaging review. Combining all the available osseous and nonosseous information with a detailed approach helps the surgeon predict potential pitfalls and adjust surgical plans before incision. Maximizing the accuracy of the preoperative planning process can streamline treatment algorithm development and ultimately contribute to the best possible clinical patient outcome.

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