Academic Journal

Gait analysis of a patient after femoral nerve and malignant soft tissue tumor resections: a case report

التفاصيل البيبلوغرافية
العنوان: Gait analysis of a patient after femoral nerve and malignant soft tissue tumor resections: a case report
المؤلفون: Kubota, Yuta, Tsubouchi, Yuta, Anan, Masaya, Kawano, Masanori, Iwasaki, Tatsuya, Itonaga, Ichiro, Ikeda, Shinichi, Kataoka, Masashi, Tsumura, Hiroshi, Kaku, Nobuhiro, Tanaka, Kazuhiro
المصدر: BMC Musculoskeletal Disorders ; volume 25, issue 1 ; ISSN 1471-2474
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2024
الوصف: Background Malignant femoral soft tissue tumors are occasionally resected together with the femoral nerves, but this can cause loss of knee extensor muscle activity. To the best of our knowledge, no previous reports have detailed the gait analysis of such cases in combination with electromyography. Herein, we report the gait analysis of a patient who underwent left groin synovial sarcoma and left femoral nerve resection 12 years ago. Case presentation We analyzed the gait of a 38-year-old man who was able to walk unaided after the resection of a synovial sarcoma in the left groin together with the ipsilateral femoral nerve. The muscle activities of the affected medial (MH) and lateral hamstrings (LH), and lateral heads of the gastrocnemius (GL) were increased during 50–75% of the stance phase. The hip flexion angle of the affected limb was smaller, and the ankle plantar flexion angle of the affected limb was larger than that of the non-affected limb. This means that in the affected limb, the hip and ankle angles were adjusted to prevent knee collapse, and the MH, LH, and GL muscles contributed in the mid- and late-stance phases. Moreover, we found that the hamstring and gastrocnemius of the affected limb worked together to keep the ipsilateral knee extended in the mid-stance phase and slightly flexed in the late-stance phase. Conclusions Patients capable of walking after femoral nerve resection may control their hamstrings and gastrocnemius muscles collaboratively to prevent ipsilateral knee collapse in the mid- and late-stance phases.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s12891-024-07258-8
DOI: 10.1186/s12891-024-07258-8.pdf
DOI: 10.1186/s12891-024-07258-8/fulltext.html
الاتاحة: http://dx.doi.org/10.1186/s12891-024-07258-8
https://link.springer.com/content/pdf/10.1186/s12891-024-07258-8.pdf
https://link.springer.com/article/10.1186/s12891-024-07258-8/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
رقم الانضمام: edsbas.84E07BFB
قاعدة البيانات: BASE
الوصف
DOI:10.1186/s12891-024-07258-8