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Sciatic nerve injection injury.

Hyun Jung Kim1, Sang Hyun Park2

  • 1Department of Anaesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju-si, Republic of Korea.

The Journal of International Medical Research
|June 13, 2014
PubMed
Summary

Intramuscular injections can cause sciatic nerve injury, particularly in vulnerable groups. Choosing the ventrogluteal site over the dorsogluteal site can improve safety and prevent nerve damage.

Keywords:
Gluteal injectionintramuscular injectionnerve injection injurysciatic nerve

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Area of Science:

  • Neurology
  • Orthopedics
  • Injection Safety

Background:

  • Intramuscular injections carry a risk of nerve injury, with the sciatic nerve being most commonly affected.
  • This complication disproportionately impacts children, the elderly, and underweight individuals, leading to varied neurological deficits.

Purpose of the Study:

  • To highlight the risks and management of sciatic nerve injection injuries.
  • To emphasize the importance of early recognition and appropriate interventions for optimal patient recovery.
  • To provide guidance on preventable measures, including site selection for gluteal injections.

Main Methods:

  • Review of existing literature on nerve injection injuries.
  • Analysis of neurological presentations and outcomes.
  • Evaluation of current management strategies and preventative techniques.

Main Results:

  • Sciatic nerve injection injury presents with symptoms ranging from pain to severe motor and sensory loss.
  • Effective management involves pain control, physiotherapy, assistive devices, and potentially surgery.
  • The ventrogluteal region offers a safer injection site compared to the dorsogluteal region.

Conclusions:

  • Early identification and management of nerve injection injuries are critical for minimizing long-term neurological deficits.
  • Preventing sciatic nerve injection injury is achievable through careful site selection and considering alternative administration routes.
  • The ventrogluteal site is recommended for gluteal intramuscular injections due to its superior safety profile.