南印度人群坐骨神经变异及其与梨状肌的关系

Sushma R Kotian, A. Sinha, A. S. Souza, S. Sumalatha
{"title":"南印度人群坐骨神经变异及其与梨状肌的关系","authors":"Sushma R Kotian, A. Sinha, A. S. Souza, S. Sumalatha","doi":"10.5455/JEIM.200515.OR.132","DOIUrl":null,"url":null,"abstract":"Objective: The sciatic nerve, a largest branch of the sacral plexus is prone to variations in its formation, course and branching pattern which may lead to multiple clinical complaints. The aim of the present study was to analyze the incidence of its variations in South Indian population. Methods: 60 gluteal regions were examined in 30 formalin fixed adult cadavers for the variations in the formation, termination of the sciatic nerve and its relationship with the piriformis muscle. Results: The sciatic nerve showed variations in its formation and as well as termination. High division of the sciatic nerve was the most commonly encountered variation (45%). The relationship of the sciatic nerve and its branches with the piriformis muscle was also variable. In majority of the cases (56.67%), the sciatic nerve and its branches were passing inferior to piriformis. Conclusion: Although the variations of the sciatic nerve are common and are already reported, the present study indicates some additional findings not reported previously and further stresses on its applied significance. These variations are important for surgeons, as this is an area of frequent surgical manipulation, nerve injury during deep intramuscular injections, sciatic nerve block etc. They may lead to in-advertent injury during operations, piriformis syndrome, non-discogenic sciatica, muscle atrophy, failure of sciatic nerve block and many other complications.","PeriodicalId":16091,"journal":{"name":"Journal of Experimental and Integrative Medicine","volume":"1995 1","pages":"144-148"},"PeriodicalIF":0.0000,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Variations of the sciatic nerve and its relation with the piriformis muscle in South Indian population\",\"authors\":\"Sushma R Kotian, A. Sinha, A. S. Souza, S. Sumalatha\",\"doi\":\"10.5455/JEIM.200515.OR.132\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: The sciatic nerve, a largest branch of the sacral plexus is prone to variations in its formation, course and branching pattern which may lead to multiple clinical complaints. The aim of the present study was to analyze the incidence of its variations in South Indian population. Methods: 60 gluteal regions were examined in 30 formalin fixed adult cadavers for the variations in the formation, termination of the sciatic nerve and its relationship with the piriformis muscle. Results: The sciatic nerve showed variations in its formation and as well as termination. High division of the sciatic nerve was the most commonly encountered variation (45%). The relationship of the sciatic nerve and its branches with the piriformis muscle was also variable. In majority of the cases (56.67%), the sciatic nerve and its branches were passing inferior to piriformis. Conclusion: Although the variations of the sciatic nerve are common and are already reported, the present study indicates some additional findings not reported previously and further stresses on its applied significance. These variations are important for surgeons, as this is an area of frequent surgical manipulation, nerve injury during deep intramuscular injections, sciatic nerve block etc. They may lead to in-advertent injury during operations, piriformis syndrome, non-discogenic sciatica, muscle atrophy, failure of sciatic nerve block and many other complications.\",\"PeriodicalId\":16091,\"journal\":{\"name\":\"Journal of Experimental and Integrative Medicine\",\"volume\":\"1995 1\",\"pages\":\"144-148\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Experimental and Integrative Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5455/JEIM.200515.OR.132\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Experimental and Integrative Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/JEIM.200515.OR.132","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3

摘要

目的:坐骨神经是骶神经丛中最大的分支,其形成、走行和分支模式容易发生变化,从而导致多种临床主诉。本研究的目的是分析其变异在南印度人口中的发生率。方法:对30具经福尔马林固定的成人尸体的60个臀区进行检查,观察坐骨神经的形成、终止及其与梨状肌的关系的变化。结果:坐骨神经的形成和终止均有不同程度的变化。高度分裂的坐骨神经是最常见的变异(45%)。坐骨神经及其分支与梨状肌的关系也不同。大多数病例(56.67%),坐骨神经及其分支在梨状肌下方通过。结论:虽然坐骨神经的变异是常见的,并且已经有报道,但本研究提示了一些先前未报道的其他发现,并进一步强调了其应用意义。这些变化对外科医生来说很重要,因为这是一个经常手术操作的区域,在深度肌内注射时神经损伤,坐骨神经阻滞等。可导致术中意外损伤、梨状肌综合征、非盘源性坐骨神经痛、肌肉萎缩、坐骨神经阻滞失败等并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Variations of the sciatic nerve and its relation with the piriformis muscle in South Indian population
Objective: The sciatic nerve, a largest branch of the sacral plexus is prone to variations in its formation, course and branching pattern which may lead to multiple clinical complaints. The aim of the present study was to analyze the incidence of its variations in South Indian population. Methods: 60 gluteal regions were examined in 30 formalin fixed adult cadavers for the variations in the formation, termination of the sciatic nerve and its relationship with the piriformis muscle. Results: The sciatic nerve showed variations in its formation and as well as termination. High division of the sciatic nerve was the most commonly encountered variation (45%). The relationship of the sciatic nerve and its branches with the piriformis muscle was also variable. In majority of the cases (56.67%), the sciatic nerve and its branches were passing inferior to piriformis. Conclusion: Although the variations of the sciatic nerve are common and are already reported, the present study indicates some additional findings not reported previously and further stresses on its applied significance. These variations are important for surgeons, as this is an area of frequent surgical manipulation, nerve injury during deep intramuscular injections, sciatic nerve block etc. They may lead to in-advertent injury during operations, piriformis syndrome, non-discogenic sciatica, muscle atrophy, failure of sciatic nerve block and many other complications.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信