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[Sciatic paralysis after a buttock intramuscular injection in children: an ongoing risk factor].
1Service de neuropédiatrie, hôpital Saint-Vincent-de-Paul, 74-82, avenue Denfert-Rochereau, 75674 Paris, France.
Summary
Buttock intramuscular injections in children risk sciatic nerve injury and lower limb palsy, such as drop foot. Avoid this injection site in all pediatric patients to prevent potential paralysis.
Area of Science:
- Pediatric Medicine
- Neurology
- Pharmacology
Context:
- Intramuscular injections are a common drug administration route in children.
- The buttocks are a frequently used site for pediatric intramuscular injections.
Purpose:
- To highlight the risks associated with buttock intramuscular injections in children.
- To recommend against using the buttocks as an injection site for pediatric patients.
Summary:
- Buttock intramuscular injections can cause sciatic nerve injury, often leading to paralytic drop foot in children of all ages.
- This nerve damage typically results from the injected medication's caustic effects rather than direct trauma.
- Extrafascicular neurolysis may be a viable treatment to prevent paralysis after sciatic nerve injury.
Impact:
- Informing healthcare providers about the risks of pediatric buttock injections.
- Promoting safer injection practices to prevent iatrogenic neurological complications in children.
- Guiding clinical decisions on alternative intramuscular injection sites in pediatric care.