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Báo cáo y học: " Persistent sciatica induced by quadratus femoris muscle tear and treated by surgical decompression: a case report"

Tham khảo luận văn - đề án 'báo cáo y học: " persistent sciatica induced by quadratus femoris muscle tear and treated by surgical decompression: a case report"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Bano et al. Journal of Medical Case Reports 2010 4 236 http www.jmedicalcasereports.eom content 4 1 236 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Persistent sciatica induced by quadratus femoris muscle tear and treated by surgical decompression a case report 1 2 1 f ĩ . 3 4 1 Artan Bano Apostolos Karantanas Dritan Pasku George Datseris George Tzanakakis Pavlos Katonis Abstract Introduction Quadratus femoris tear is an uncommon injury which is only rarely reported in the literature. In the majority of cases the correct diagnosis is delayed due to non-specific symptoms and signs. A magnetic resonance imaging scan is crucial in the differential diagnosis since injuries to contiguous soft tissues may present with similar symptoms. Presentation with sciatica is not reported in the few cases existing in the English literature and the reported treatment has always been conservative. Case presentation We report here on a case of quadratus femoris tear in a 22-year-old Greek woman who presented with persistent sciatica. She was unresponsive to conservative measures and so was treated with surgical decompression. Conclusion The correct diagnosis of quadratus muscle tear is a challenge for physicians. The treatment is usually conservative but in cases of persistent sciatica surgical decompression is an alternative option. Introduction Traumatic quadratus femoris muscle tear is a clinically unsuspected injury. The immediate and correct diagnosis is a challenge because of its rarity and similarities to other disorders that cause groin pain. Only a few cases of partial and complete rupture of quadratus femoris muscle in the young active population have been reported in the literature 1 2 . In all cases magnetic resonance imaging MRI was crucial both in correct diagnosis and guidance of treatment. Simultaneously different therapeutic techniques were used including the injection of methylprednisolone acetate Depo-Medrol transcutaneous neurostimulation .