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Sciatic Neuropathy after Lower-Extremity Trauma: Successful Treatment of an Uncommon Pain and Disability Syndrome in an Adolescent

Saroyan, John M. MD, FAAP; Winfree, Christopher J. MD; Schechter, William S. MD, MS, FAAP; Roye, David MD; Gold, Arnold P. MD

American Journal of Physical Medicine & Rehabilitation: July 2007 - Volume 86 - Issue 7 - p 597-600
doi: 10.1097/PHM.0b013e31806dbdd2
Case Report: Neuropathy

Saroyan JM, Winfree CJ, Schechter WS, Roye D, Gold AP: Sciatic neuropathy after lower-extremity trauma: successful treatment of an uncommon pain and disability syndrome in an adolescent. Am J Phys Med Rehabil 2007;86:597–600.

Lower-extremity trauma is an uncommon but reported cause of sciatic nerve injury in children and adolescents. Failure to identify sciatic neuropathy after traumatic injury to the lower extremity may lead to the delayed institution of neuropathic pharmacotherapy, electrodiagnostic testing, physical therapy, and increased risk for the development of complex regional pain syndrome. This article presents a case of an adolescent male with neuropathic pain and weakness in the right lower extremity after traumatic injury. Spontaneous recovery of the injured nerve occurred with early institution of pharmacologic and physical therapies. Operative exploration and neurolysis were considered but were not ultimately necessary.

From the Departments of Anesthesiology and Pediatrics (JMS, WSW), Department of Neurological Surgery (CJW), Department of Orthopaedic Surgery (DR), and Departments of Neurology and Pediatrics (APG), Columbia University College of Physicians and Surgeons, New York, New York.

All correspondence and requests for reprints should be addressed to Dr. John Saroyan, Division of Pain Management, PH5-500, Columbia University, Department of Anesthesiology, 622 W. 168th Street, New York, NY 10032.

© 2007 Lippincott Williams & Wilkins, Inc.