“Dolor de origen neuropático por consecuencia de fractura sacro-iliaca y acetabular”

Abstract

In the following clinical case, the presence of neuropathic pain as a result of a sacral-iliac and acetabular fracture was analyzed in a 39-year-old patient; the patient after presenting unbearable pain, is operated on after twenty days, presenting a functional limitation of the lower right limb and diagnosed as lumbo-sacral plexus axonotmesis. It was developed under a qualitative approach, the research is of phenomenological type, the primary information was obtained through the application of scripts of interviews to the wife and the physiotherapist, a physical and sensitive physiotherapeutic evaluation card; where muscle strength, joint width, muscle mass volume, superficial and deep sensitivity, as well as root maneuvers were measured, in addition, the respective informed consent is executed. The secondary information was obtained through the analysis of the patient's medical records of both the IESS Ambato General Hospital and the Specialties Hospital of the FFAA N° 1; In addition to the review 31 scientific articles collected from the PubMed, Medline, Scielo, LILACS, RedAlyC, PEDro, and Google Scholar databases. In the patient, it was determined that there is currently a presence of moderate pain and a decrease in strength, joint width and considerable muscular mass of the right lower limb; while in the sensitivity, a compromise of the branches of L4, L5, S1 and S2 of the lumbosacral plexus was detected. So the proposed treatment plan is based on the functional recovery of the right lower limb.