Sciatic nerve injury in children after gluteal intramuscular injection: Case reports on medical malpractice

Two cases of medical malpractice for sciatic nerve injury caused by gluteal intramuscular injection in China are reported. Two children presented with foot drop indicative of sciatic nerve injury following gluteal intramuscular injections. The appraisal of whether there was medical negligence, the causal relationship between the patients’ nerve injuries and medical standard of care, and the causative potency were entrusted to us by the court. Based on each patient’s original medical history, imaging examination results, limb dysfunction and interviews with their relatives, there was a causal relationship between the children’s injuries and the medical treatment. The causative potency of medical negligence was complete effect in one case and main effect in the other case.

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An Unusual Neurological Complication following Internal Fixation of Pertrochanteric Fracture Neck of the Femur

Hip International ◽

10.1177/112070000201200410 ◽

2002 ◽

Vol 12 (4) ◽

pp. 400-402

Author(s):

R. Dharmarajan ◽

R. Vadivelu ◽

T. Lawrence

Keyword(s):

Sciatic Nerve ◽

Femoral Neck ◽

Nerve Injury ◽

Neurological Complication ◽

The Elderly ◽

Femoral Neck Fractures ◽

Sciatic Nerve Injury ◽

Foot Drop ◽

Pertrochanteric Fracture ◽

Neurological Injury

Fracture of the femoral neck is a common injury in the elderly population and may be associated with significant morbidity. More than 25,000 patients per year in the UK receive treatment for femoral neck fractures. Neurological injury associated with pertrochanteric fracture of the neck of the femur is rare. Sciatic nerve injury following isolated pertrochanteric femoral neck fractures is very rare and has not previously been reported in the literature. We describe a case of foot drop secondary to sciatic nerve injury following fracture of neck of the femur, with recovery after surgical exploration and nerve release.

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SCIATIC NERVE INJURY DUE TO THE INTRAMUSCULAR INJECTION OF PARALDEHYDE

Journal of the American Medical Association ◽

10.1001/jama.1943.62840170002008a ◽

1943 ◽

Vol 121 (17) ◽

pp. 1343 ◽

Cited By ~ 6

Author(s):

Frederick G. Woodson

Keyword(s):

Sciatic Nerve ◽

Nerve Injury ◽

Intramuscular Injection ◽

Sciatic Nerve Injury

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Case 3

10.1093/med/9780190603434.003.0007 ◽

2018 ◽

Author(s):

Bashar Katirji

Keyword(s):

Sciatic Nerve ◽

Nerve Injury ◽

Clinical Manifestations ◽

Sciatic Nerve Injury ◽

Foot Drop ◽

Motor Deficits ◽

Nerve Lesion ◽

Piriformis Syndrome ◽

Sciatic Nerve Lesion ◽

Painful Syndrome

Sciatic nerve injury is a relatively uncommon lower extremity mononeuropathy. The various etiologies of sciatic neuropathies are highlighted in this case. The clinical manifestations and diagnosis include distinguishing foot drop due to sciatic neuropathy from peroneal (fibular) neuropathy across the fibular neck, L5 radiculopathy, and lumbosacral plexopathy. The electrodiagnostic features of sciatic nerve lesion are separated from those of foot drop due to other peripheral nerve causes. In contrast to sciatic nerve injury, the piriformis syndrome is mostly a painful syndrome with no or minimal sensory or motor deficits. The clinical manifestations of piriformis syndrome and controversies surrounding this syndrome completes the discussion in this case.

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