Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Dec 1984
Case ReportsIliacus hematoma and subsequent femoral nerve palsy after penetration of the medical acetabular wall during total hip arthroplasty. Report of a case.
Intrapelvic perforation of the medial acetabular wall during total hip arthroplasty is not uncommon but has been associated only rarely with adverse effects. A postoperative iliacus hematoma with secondary femoral nerve palsy occurred in a 61-year-old woman. The patient had been on Coumadin prophylaxis against deep venous thrombosis, but bleeding times were never excessively prolonged. ⋯ Conservative therapy produced resolution of the nerve deficit within eight months. Careful attention to the placement of anchoring drill holes in the acetabulum could have prevented this complication. Iliacus hematoma should be considered in the differential diagnosis of a femoral nerve palsy in the postoperative total hip patient, particularly if anticoagulation is employed.
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Clin. Orthop. Relat. Res. · Dec 1984
The geyser sign and torn rotator cuff: clinical significance and pathomechanics.
The geyser radiographic sign on shoulder arthrogram is characterized by leakage of dye from the glenohumeral joint into the subdeltoid bursa. The dye outlines the acromioclavicular joint. It is usually an indication of a full-thickness cuff tear of long duration. The clinical occurrence and pathomechanics of this finding indicate that repair is generally difficult.