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Complete Femoral Nerve Palsy Following Traumatic Iliacus HematomaA Case Report and Literature Review
Hsiu-Wen Kuo, MD1; Jan-Wen Ku, MD2; Chang-Jung Chiang, MD, PhD2; Gary Rau, MD2; Chih-Yu Chen, MD2; Chia-Hsien Chen, MD2
1 Department of Radiology, Buddhist Tzuchi General Hospital Taipei Branch, No. 289, Jianguo Road, Xindian District, New Taipei City 23142, Taiwan
2 Department of Radiology (J.-W.K.), Department of Orthopaedics (C.-J.C., G.R., C.-Y.C., C.-H.C.), Shuang-Ho Hospital, Taipei Medical University, Taipei, No. 291, Zhongzheng Road, Zhonghe District, New Taipei City 23561, Taiwan. E-mail address for C.-H. Chen: chiaxian@gmail.com
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Investigation performed at Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Jul 24;3(3):e74 1-4. doi: 10.2106/JBJS.CC.L.00291
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Femoral nerve palsy due to iliacus hematoma has been reported previously1-4. Its incidence has increased because of the widespread use of anticoagulants and revision hip surgery. Surgical hematoma evacuation has been highly recommended in patients with coagulopathy5. In healthy patients with posttraumatic iliacus hematoma, previous case reports have revealed excellent results with conservative and surgical treatment for incomplete lesions4,6-11. This report describes the management of a case of complete femoral nerve palsy secondary to traumatic iliacus hematoma in a young patient. The patient and his parents were informed that data concerning the case would be submitted for publication, and they provided consent.
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