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Injection-induced sciatic nerve injury in Nigerian children
1Department of Paediatrics, University College Hospital, Ibadan, Nigeria. fat@skannet.com
Summary
Intramuscular injections in children, especially those under five, can lead to sciatic nerve injury. Avoiding this route and using trained personnel can prevent such injuries.
Area of Science:
- Pediatric Medicine
- Neurology
- Public Health
Background:
- Sciatic nerve injury is a potential complication of medical procedures in children.
- Intramuscular injections, particularly in the buttock, have been implicated in pediatric sciatic nerve injuries.
Purpose of the Study:
- To determine predisposing factors for sciatic nerve injury in children.
- To highlight practical preventive measures for sciatic nerve injury in pediatric patients.
Main Methods:
- Retrospective study of pediatric sciatic nerve injury cases.
- Data collected from case files at University College Hospital, Ibadan, Nigeria (1988-1999).
Main Results:
- 27 children diagnosed with sciatic nerve injury; 74% were five years or younger.
- Most patients (74%) presented late with foot drop after buttock intramuscular injections.
- Injections were often administered in private facilities by minimally trained staff.
Conclusions:
- Strongly discourage the intramuscular route for injections when alternatives exist.
- Ensure only trained healthcare professionals administer intramuscular injections.
- Consider alternative injection sites to the buttock in children, especially those under five, to prevent sciatic nerve injury.