Sciatic nerve injury following gluteal intramuscular injection

Abstract

Objective: To study the type of injected agents, clinical features and outcome of conservative treatment of patients with sciatic nerve injury following gluteal intramuscular injection. Methods: A prospective study of patients with sciatic nerve injury following gluteal intramuscular injection from private neurological clinic and neurophysiology unit in Ibn Sena Teaching Hospital in Mosul between January 2008 and July 2010. Results: The total number of the patients was 36. Male patients were 19 and females were 17. There were 28 patients under age of 5 years. Thirty four patients sustained their nerve injury by nurses, and antibiotics were the offending agents in 91.33% of patients. Foot drop is the commonest presenting clinical feature. Complete recovery was reported in 29.6% of the patients, partial recovery in 44.5% and no measurable clinical improvement in 25.5% of them. Conclusion: Children are at higher risk of injury. The injection should be prescribed only when mandatory and administered by a well qualified and competent personnel. ‫اﻟﺨﻼﺻﺔ‬ ‫اﻟﻬﺪف‬ : ‫اﻹﻧﺴﻲ‬ ‫اﻟﻌﺼﺐ‬ ‫إﺻﺎﺑﺔ‬ ‫ﻣﻦ‬ ‫ﻳﻌﺎﻧﻮن‬ ‫اﻟﺬﻳﻦ‬ ‫ﻟﻠﻤﺮﺿﻰ‬ ‫اﻟﺘﺤﻔﻈﻲ‬ ‫اﻟﻌﻼج‬ ‫وﻧﺘﺎﺋﺞ‬ ‫اﻟﺴﺮﻳﺮﻳﺔ‬ ‫واﻟﻌﻼﻣﺎت‬ ‫اﻟﺤﻘﻦ‬ ‫أﻧﻮاع‬ ‫دراﺳﺔ‬ ‫اﻹﻟﻴﺔ‬ ‫ﻋﻀﻠﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺤﻘﻦ‬ ‫ﻧﺘﻴﺠﺔ‬. ‫اﻟﺪراﺳﺔ‬ ‫ﻃﺮق‬ : ‫ﺷﻤﻠﺖ‬ ‫ﻣﺴﺘﻘﺒﻠﻴﺔ‬ ‫دراﺳﺔ‬ ٣٦ ‫ﻣﺮﻳﻀﺎ‬) ١٩ ‫و‬ ‫ذآﻮر‬ ١٧ ‫إﻧﺎث‬ (‫اﻟﺜﺎﻧﻲ‬ ‫آﺎﻧﻮن‬ ‫ﺑﻴﻦ‬ ‫ﻟﻠﻔﺘﺮة‬ ٢٠٠٨ ‫وﺗﻤﻮز‬ ٢٠١٠. ‫اﻟﻨﺘﺎﺋﺞ‬ : ‫أ‬ ‫إن‬ ‫اﻟﺪراﺳﺔ‬ ‫ﻇﻬﺮت‬ ٢٨ ‫أﻋﻤﺎرهﻢ‬ ‫آﺎﻧﺖ‬ ‫ﻣﺮﻳﻀﺎ‬ ‫أﻗ‬ ‫وان‬ ‫ﺳﻨﻮات‬ ‫ﺧﻤﺲ‬ ‫ﻣﻦ‬ ‫ﻞ‬ ٣٤ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫اﻟﺤﻘﻦ‬ ‫ﺗﻠﻘﻮا‬ ‫آﺎن‬ ‫ﻣﺮﻳﻀﺎ‬ ‫ﻋﻨﺪ‬ ‫اﻟﻤﺴﺒﺐ‬ ‫اﻟﻌﺎﻣﻞ‬ ‫آﺎﻧﺖ‬ ‫اﻟﺤﻴﻮﻳﺔ‬ ‫اﻟﻤﻀﺎدات‬ ‫وان‬ ‫اﻟﻤﻤﺮﺿﻴﻦ‬ ٩١,٣٣ % ‫أآﺜﺮ‬ ‫هﻮ‬ ‫اﻟﻘﺪم‬ ‫ﺳﻘﻮط‬ ‫إن‬ ‫آﻤﺎ‬ ‫اﻟﻤﺮﺿﻰ‬ ‫ﻣﻦ‬ ‫ﻣﻦ‬ ‫راﺟﻊ‬ ‫اﻟﺘﻲ‬ ‫اﻟﺴﺮﻳﺮﻳﺔ‬ ‫اﻟﻌﻼﻣﺎت‬ ‫أ‬ ‫ﻋ‬ ‫ﺣﺼﻞ‬ ‫ﻗﺪ‬ ‫اﻟﺘﺎم‬ ‫اﻟﺸﻔﺎء‬ ‫وان‬ ‫اﻟﻤﺮﺿﻰ‬ ‫ﺟﻠﻬﺎ‬ ‫ﻨﺪ‬ ٢٩,٦ % ‫اﻟﺠﺰيء‬ ‫واﻟﺸﻔﺎء‬ ‫اﻟﻤﺮﺿﻰ‬ ‫ﻣﻦ‬ ‫ﻋﻨﺪ‬ ٤٤,٥ % ‫ﻋﻨﺪ‬ ‫اﻟﺸﻔﺎء‬ ‫ﻣﻦ‬ ‫درﺟﺔ‬ ‫أي‬ ‫ﻳﺤﺼﻞ‬ ‫وﻟﻢ‬ ٢٥,٥ % ‫اﻟﺘﺤﻔﻈﻲ‬ ‫اﻟﻌﻼج‬ ‫ﺑﻌﺪ‬ ‫ﻣﻨﻬﻢ‬. ‫اﻻﺳﺘﻨﺘﺎﺟﺎت‬ : ‫ﻟﻺﺻﺎﺑﺔ‬ ‫ﻋﺮﺿﺔ‬ ‫اﻷآﺜﺮ‬ ‫هﻢ‬ ‫اﻷﻃﻔﺎل‬. ‫اﻟﺤﺎﻻت‬ ‫ﻓﻲ‬ ‫إﻻ‬ ‫ﺑﺎﻟﻌﻀﻠﺔ‬ ‫اﻟﺤﻘﻦ‬ ‫اﺳﺘﺨﺪام‬ ‫ﺑﻌﺪم‬ ‫اﻟﺪراﺳﺔ‬ ‫هﺬﻩ‬ ‫ﺗﻨﺼﺢ‬ ‫اﻟﻜﻔﻮء‬ ‫اﻟﺸﺨﺺ‬ ‫ﻗﺒﻞ‬ ‫وﻣﻦ‬ ‫اﻟﻀﺮورﻳﺔ‬ .