Clinical and radiological manifestations and anatomical and topographical rationale for a possible combined injury of the hip joint and proximal part of the sciatic nerve (clinical and experimental study)

Clinical and radiological manifestations and anatomical and topographical rationale for a possible combined injury of the hip joint and proximal part of the sciatic nerve (clinical and experimental study)

Nikolenko V.N., Chekhonatskiy A.A., Osadchuk M.A., Ilyasova E.B., Osadchuk A.M., Chekhonatskiy V.A., Reshetnikov A.N., Levchenko K.K., Bahteeva N.H.

Purpose. To study peculiarities of clinico-radiological and anatomico-topographic relationship of sciatic nerve and acetabulum.
1 - I. M. Sechenov First Moscow State Medical University (Sechenov Uni-versity).
2 - Lomonosov Moscow State University. Moscow, Russia.
3 - V.I. Razumovsky Sara-tov State Medical Universi-ty. Saratov, Russia.
4 - Samara State Medical University. Samara, Russia. 5 - Russian Medical Acad-emy of Postgraduate Edu-cation. Moscow, Russia.



Materials and Methods. Two stages experimental research was conducted in vitro on 20 human corpses, died due to various reasons. Clinico-radiological study was carried out in vivo on 41 patients with injuries of sciatic nerve and acetabulum. Results. Research data can confidently state that topographic proximity of sciatic nerve to acetabulum especially to its posterior-upper edge determines high risk of nerve le-sion at acetabulum fractures due to influence of bone fragments, formed hematoma, forming scars. Conclusion. Acetabulum fractures are potentially dangerous for possibility of simul-taneous injury of sciatic nerve; in this case a patient has to be subjected to special examina-tion with the purpose of his sciatic nerve status evaluation.

 

Keywords: acetabulum, fracture, sciatic nerve, diagnosis, clinic, treatment, acetabu-lum, sciatic nerve, trauma.

Corresponding author:Chekhonatskiy A.A., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Nikolenko V.N., Chekhonatskiy A.A., Osadchuk M.A., Ilyasova E.B., Osadchuk A.M., Chekhonatskiy V.A., Reshetnikov A.N., Levchenko K.K., Bahteeva N.H. Clinical and radiological manifestations and anatomical and topographical rationale for a possible com-bined injury of the hip joint and proximal part of the sciatic nerve (clinical and experimental study). REJR 2018; 8 (3):174-180. DOI:10.21569/2222-7415-2018-8-3-174-180.

Received:06.09.18Accepted:20.09.18