Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Sciatic Neuropathy after Intramuscular Injection at a Site Remote from the Nerve

신경과 먼 부위 근육 내 주사 후 발생한 좌골신경병증

  • Yun, Soo In (Department of Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Jisoo (Department of Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ko, Yun Dam (Department of Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Song, Dae-Heon (Department of Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Jihye (Department of Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 윤수인 (가톨릭대학교 의과대학 은평성모병원 재활의학교실) ;
  • 박지수 (가톨릭대학교 의과대학 은평성모병원 재활의학교실) ;
  • 고윤담 (가톨릭대학교 의과대학 은평성모병원 재활의학교실) ;
  • 송대헌 (가톨릭대학교 의과대학 은평성모병원 재활의학교실) ;
  • 박지혜 (가톨릭대학교 의과대학 은평성모병원 재활의학교실)
  • Received : 2020.10.20
  • Accepted : 2020.11.24
  • Published : 2021.06.30
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Abstract

Sciatic nerve can be injured by various mechanism such as compression, traction during surgery, and direct trauma. This case reports a sciatic neuropathy caused by compression due to hematoma occurring after intramuscular injection in the gluteus medius muscle far from the nerve. In order to avoid occurrence of sciatic neuropathy after buttock injection, the injection was made in the upper outer quadrant of the buttock, but sciatic neuropathy occurred. Sciatic neuropathy can be confused with lumbar radiculopathy, so differential diagnosis is important.

Keywords

References

  1. Jung Kim H, Hyun Park S. Sciatic nerve injection injury. J Int Med Res 2014; 42: 887-897 https://doi.org/10.1177/0300060514531924
  2. Distad BJ, Weiss MD. Clinical and electrodiagnostic features of sciatic neuropathies. Phys Med Rehabil Clin N Am 2013; 24: 107-120 https://doi.org/10.1016/j.pmr.2012.08.023
  3. Yuen EC, Olney RK, So YT. Sciatic neuropathy: clinical and prognostic features in 73 patients. Neurology 1994; 44: 1669-1674 https://doi.org/10.1212/WNL.44.9.1669
  4. Geyik S, Geyik M, Yigiter R, Kuzudisli S, Saglam S, Elci MA, et al. Preventing Sciatic Nerve Injury due to Intramuscular Injection: Ten-Year Single-Center Experience and Literature Review. Turk Neurosurg 2017; 27: 636-640
  5. Villarejo FJ, Pascual AM. Injection injury of the sciatic nerve (370 cases). Childs Nerv Syst 1993; 9: 229-232 https://doi.org/10.1007/BF00303575
  6. Yeremeyeva E, Kline DG, Kim DH. Iatrogenic sciatic nerve injuries at buttock and thigh levels: the Louisiana State University experience review. Neurosurgery 2009; 65: A63-A66 https://doi.org/10.1227/01.neu.0000346265.17661.1e
  7. Small SP. Preventing sciatic nerve injury from intramuscular injections: literature review. J Adv Nurs 2004; 47: 287-296 https://doi.org/10.1111/j.1365-2648.2004.03092.x
  8. Rocos B, Ward A. Gluteal compartment syndrome with sciatic nerve palsy caused by traumatic rupture of the inferior gluteal artery: a successful surgical treatment. BMJ Case Rep 2017; 2017
  9. Hayden G, Leung M, Leong J. Gluteal compartment syndrome. ANZ J Surg 2006; 76: 668-670 https://doi.org/10.1111/j.1445-2197.2006.03797.x
  10. Yuen EC, So YT. Sciatic neuropathy. Neurol Clin 1999; 17: 617-631, viii https://doi.org/10.1016/s0733-8619(05)70155-9