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Delayed Sciatic Nerve Injury Resulting From Myositis Ossificans Traumatica
Author(s) -
Guan Zhe,
Wilson Thomas J.,
Jacobson Jon A.,
Hollon Todd C.,
Yang Lynda J.S.
Publication year - 2016
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2015.10.011
Subject(s) - medicine , myositis ossificans , surgery , sciatic nerve , heterotopic ossification , complication , presentation (obstetrics) , differential diagnosis , decompression , anesthesia , pathology
A motorcyclist sustained multiple‐system trauma, including a left buttock hematoma requiring decompression and evacuation. Presentation for severe hip pain and lower extremity weakness was delayed. Imaging revealed myositis ossificans traumatica compressing the sciatic nerve in the buttock. The patient underwent sciatic nerve decompression with resection of heterotopic calcification, resulting in improvement in pain and left lower extremity function. This case illustrates the contrast in differential diagnosis of peripheral nerve injury immediately posttrauma and that occurring in a slow, delayed fashion posttrauma. Myositis ossificans may be an underrecognized complication of trauma but should be considered in cases of delayed peripheral nerve injury after trauma.