Acute Lumbosacral Plexopathy Following Femoral Fracture: An Unusual Association

Marjan Zeinali; Bahram Haghi Ashtiani; Mohammad Hossein Nabian; Hamid Rabie

doi:10.18502/jost.v7i1.5966

Marjan Zeinali Resident, Department of Neurology, Firoozgar Hospital, Iran University of Medical Sciences, Teheran, Iran
Bahram Haghi Ashtiani Assistant Professor, Department of Neurology, Firoozgar Hospital, Iran University of Medical Sciences, Teheran, Iran
Mohammad Hossein Nabian Assistant Professor, Department of Orthopedic Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Hamid Rabie

DOI: https://doi.org/10.18502/jost.v7i1.5966

Keywords: Femoral Fractures; Lower Extremity; Lumbosacral Plexus

Abstract

Background: Post traumatic lumbosacral plexopathy (LSP) is a well-known condition following pelvic fracture or abdominal trauma and surgery. A rare condition of LSP has been reported in the literature following femoral shaft fractures.

Case Report: Two cases of LSP after bilateral femoral shaft fracture presented to our center. In both cases, the mechanism of injury was a high energy trauma without any signs or symptoms of pelvic or spinal injury. Electrodiagnostic studies confirmed acute plexopathy and spontaneous recovery occurred in both.

Conclusion: LSP can be seen in association with fractures or traumas far from anatomical location of the plexus. Multidisciplinary approach and complete accurate examination are mandatory for diagnosis management of the condition.