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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
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The neuronal supply to the gastrointestinal (GI) tract is essential for regulating various functions, including digestion, absorption, and movement of food. This intricate network of nerves is known as the enteric nervous system (ENS), often referred to as the "second brain" of the body.
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Burn Injuries01:22

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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Cranial Nerves: Types Part I01:14

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
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Cranial Nerves: Types Part II01:22

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
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Preparation of Rat Sciatic Nerve for Ex Vivo Neurophysiology
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Sciatic nerve injury associated with acetabular fractures.

Paul S Issack1, David L Helfet

  • 1Orthopaedic Trauma and Adult Reconstructive Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. PSIssack@aol.com

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
|December 18, 2008
PubMed
Summary

Sciatic nerve injuries after acetabular fractures can stem from trauma or surgery. Prevention involves careful surgical technique, while recovery depends on various factors, with decompression showing better sensory than motor outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Trauma Care

Background:

  • Acetabular fractures can lead to sciatic nerve injuries, either from the initial trauma or during surgical repair.
  • Symptoms range from radiculopathy to foot drop, impacting patient mobility and function.

Purpose of the Study:

  • To review the causes, presentation, and management of sciatic nerve injuries associated with acetabular fractures.
  • To highlight preventive strategies and factors influencing nerve recovery.

Main Methods:

  • Literature review of posttraumatic, perioperative, and postoperative causes of sciatic nerve palsy.
  • Analysis of natural history studies and outcomes of surgical interventions.

Main Results:

  • Common causes include hip dislocation, surgical retraction, instrumentation, heterotopic ossification, hematoma, and scarring.
  • Nerve recovery is multifactorial; prevention focuses on intraoperative care and prophylaxis for heterotopic ossification.
  • Nerve decompression outcomes are inconsistent, with better results for sensory deficits than motor deficits.

Conclusions:

  • Meticulous surgical technique and prophylaxis are crucial for preventing sciatic nerve injuries in acetabular fracture patients.
  • While recovery is variable, early intervention and appropriate management strategies can improve outcomes.