AI Article Synopsis
- - The study investigates the frequency and causes of sciatic nerve injuries resulting from intramuscular gluteal injections, analyzing data from 217 subjects diagnosed with this condition from 2003 to 2013.
- - Findings revealed that most injuries occurred in males (72.8%), predominantly affecting the right leg (91 subjects) and linked to the dorsogluteal injection site, with the peroneal nerve being more often injured than the tibial nerve.
- - The conclusion includes recommendations for using a double quadrant technique during injections and emphasizes the importance of ongoing training for medical staff to minimize the occurrence of these nerve injuries and their associated complications.
Article Abstract
Aim: Sciatic nerve injury is the most frequent and serious complication of intramuscular gluteal injection. This study aims to highlight the incidence and causes of this continuing problem and to discuss the relevant literature. < p < MATERIAL and METHODS: A total of 217 subjects who were diagnosed with sciatic nerve injury in our neurophysiology laboratory between 2003 and 2013 were examined. Sensory and motor transmission studies and needle electromyography were performed by conventional methods in the two lower legs and the results were compared between each leg.
Results: Of the subjects who experienced a sciatic injury secondary to intramuscular injection, 59 (27.2%) were female and 158 (72.8%) were male. In all subjects, the dorsogluteal site of the buttocks was selected for intramuscular injection. Sciatica occurred on the right side in 91 subjects, on the left side in 125, and bilaterally in one. The peroneal nerve was more affected than the tibial nerve. The most used agents were non-steroidal anti-inflammatory drugs. According to follow-up electromyography findings of 103 subjects, significant sequelae remained in 2/3 of cases.
Conclusion: The occurrence of sciatic neuropathy after gluteal injection causing permanent sequelae and leading to medicolegal problems is relatively rare. We suggest a double quadrant drawing technique in each gluteal region. We also draw attention to this issue with postgraduate and in-service training programs of medical staff, and providing continuity in education can reduce this serious complication.
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| http://dx.doi.org/10.5137/1019-5149.JTN.16956-16.1 | DOI Listing |
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