Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement

H. S. Uppal; S. E. Gwilym; E. J. P. Crawfurd; R. Birch

doi:10.1302/0301-620X.89B2.18202

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Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement

H. S. Uppal
S. E. Gwilym
E. J. P. Crawfurd
R. Birch

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Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement

Uppal HS, Gwilym SE, Crawfurd EJP, Birch R. Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement. J Bone Joint Surg Br. 2007;89-B(2):242-243. doi:10.1302/0301-620X.89B2.18202

Uppal, H. S., et al. “Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement.” The Journal of Bone & Joint Surgery British Volume, vol. 89-B, no. 2, 2007, pp. 242-243., https://doi.org/10.1302/0301-620X.89B2.18202

Uppal, H. S., Gwilym, S. E., Crawfurd, E. J. P., & Birch, R. (2007). Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement. The Journal of Bone & Joint Surgery British Volume, 89-B(2), 242-243. https://doi.org/10.1302/0301-620X.89B2.18202

Uppal, H. S., Gwilym, S. E., Crawfurd, E. J. P. and Birch, R. (2007) “Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement.” The Journal of Bone & Joint Surgery British Volume, 89-B(2), pp. 242-243. Available at: https://doi.org/10.1302/0301-620X.89B2.18202

Uppal, H. S., S. E. Gwilym, E. J. P. Crawfurd, and R. Birch. “Sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic during total hip replacement.” The Journal of Bone & Joint Surgery British Volume 89-B, no. 2 (2007): 242-243. https://doi.org/10.1302/0301-620X.89B2.18202

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Abstract

We report a case of iatrogenic sciatic nerve injury caused by pre-operative intraneural injection of local anaesthetic at total hip replacement. To our knowledge, this is unreported in the orthopaedic literature. We consider sacral nerve blockade in patients undergoing total hip replacement to be undesirable and present guidelines for the management of peri-operative sciatic nerve injury.

Correspondence should be sent to Mr E. J. P. Crawfurd; e-mail: edward.crawfurd@ngh.nhs.uk

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