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Pudendal Nerve Palsy

 
ICD-9 Classification / Treatment
Etiology / Epidemiology / Natural History Associated Injuries / Differential Diagnosis
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:

ICD-9

Etiology / Epidemiology / Natural History

  • Generally occurs from compression of the pudendal nerve from the perineal post during distraction for hip arthroscopy or antegrade nailing of femoral shaft fractures.

Anatomy

Clinical Evaluation

  • Numbness in the perineal region associated with prolonged traction time

Xray / Diagnositc Tests

Classification / Treatment

  • Attention to detail in placement of the patient and adequate padding can minimize this risk
  • Treatment = observation, generally recovers over time.

Associated Injuries / Differential Diagnosis

Complications

Follow-up Care

Review References

  • (Brumback RJ,.JBJS 1992;74A:1450-1455)°
  • Papavasiliou AV, Bardakos NV. Complications of arthroscopic surgery of the hip. Bone Joint Res. 2012 Jul 1;1(7):131-44. doi: 10.1302/2046-3758.17.2000108.Print 2012 Jul.  
  • Pailhé R, Chiron P, Reina N, Cavaignac E, Lafontan V, Laffosse JM. Pudendal nerve neuralgia after hip arthroscopy: retrospective study and literature review. Orthop Traumatol Surg Res. 2013 Nov;99(7):785-90. doi:10.1016/j.otsr.2013.07.015. Epub 2013 Sep 28. Review.  

 

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