Tactics of surgical treatment of traction injury of sciatic nerve combined with fracture of femur

2018 ◽  
Vol 16 (7(part 1)) ◽  
pp. 77-80
Author(s):  
A. A. Bogov ◽  
◽  
V. G. Ignatyev ◽  
M. R. Zhuravlev ◽  
I. G. Khannanova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Sciatic Nerve ◽  
Traction Injury

scholarly journals Minimal Invazive Surgical Treatment of Piriformis Syndrome and the Results

2019 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Surgical Treatment ◽  
Sciatic Nerve ◽  
Conservative Treatment ◽  
Surgical Procedures ◽  
Pain Syndrome ◽  
Anatomical Variations ◽  
Clinical Findings ◽  
Piriformis Syndrome ◽  
Minimally Invasive Surgical ◽  
Magnetic Resonance Imaging Mri

Piriformis syndrome is a neuromuscular pain syndrome occurring as a result of compression on the underlying sciatic nerve due to various causes including the hypertrophy, inflammation, mass lesions or anatomical variations occuring in the deep gluteal space. Patients with piriformis syndrome often experience pain and numbness in the hip, thigh and leg, similar to those of sciatica. In addition to clinical findings, electrophysiological examinations and magnetic resonance imaging (MRI) is useful for diagnosis. Once diagnosed, the treatment approach is stepwise and conservative treatment is successful in majority of cases. Surgical treatment should be performed for the cases in whom conservative treatment methods fail and when the sciatic nerve should be decompressed. Surgery is an important treatment option for unresolved piriformis syndrome with its simplicity and low morbidity. Several surgical procedures have been described for the decompression of affected sciatic nerve. Due to excessive fibrosis tissue that may be developed around the sciatic nerve in classical surgical procedures, person's return to social and work life may be delayed. In the present study, we will evaluate the surgical indication criteria of our cases who underwent minimally invasive surgical treatment due to piriformis syndrome, the definition of the surgical procedure and the outcomes.

scholarly journals Functional and electron-microscopic changes after differential traction injury in the sciatic nerve of a rat

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Soo-Hwan Byun ◽  
Kang-Min Ahn
Keyword(s):  
Sciatic Nerve ◽  
Weight Ratio ◽  
Control Group ◽  
Muscle Weight ◽  
Traction Injury ◽  
Fiber Number ◽  
Group A ◽  
Myelin Thickness ◽  
Group B ◽  
G Ratio

Abstract Background During maxillofacial trauma or oral cancer surgery, peripheral nerve might be damaged by traction injury. The purpose of this study was to evaluate functional and histomorphometric changes after traction nerve injury in the sciatic nerve of a rat model. Methods A total of 24 Sprague-Dawley rats were equally divided into three groups: unstretched (sham/control, group A), stretched with 0.7N (group B) and 1.5N (group C). Traction injury was performed for 10 min in B and C groups. Functional recovery of the sciatic nerve was evaluated by walking track analysis, toe spread test, and pinprick test 2 weeks after injury. The weight of gastrocnemius muscles of both sides was measured to evaluate weight ratio (ipsilateral/contralateral). Total number of axons, axon fiber size, myelin thickness, G-ratio, axon number/mm2, diameter of fiber, changes of longitudinal width, and formation of the edema and hematoma were evaluated by transmission electron microscopy. Results The sciatic function indexes were −11.48±4.0, −15.11±14.84, and −49.12±35.42 for groups A, B, and C, respectively. Pinprick test showed 3.0, 2.86±0.38, and 1.38±0.52 for A, B, and group C. Muscle weight ratios were 0.98±0.13 for group A, 0.70±0.10 for group B, and 0.54±0.05 for group C. There were significant differences in toe spread test, pinprick test, and muscle weight ratio between control group and experimental group (p<0.001). In the experimental group, fiber number, fiber size, G-ratio, fiber number/mm2, myelin thickness, diameter of fiber, and longitudinal width were decreased with statistical significance. Conclusion The present study demonstrated that the nerve traction injury in the rat sciatic nerve damaged the motor and sensory function and axonal integrity. The amount of functional nerve damage was proportional to the amount of traction power and dependent on the initial tensile strengths (0.7N and 1.5N).

Risk of Sciatic Nerve Traction Injury During Hip Arthroscopy-Is It the Amount or Duration?

2012 ◽  
Vol 94 (22) ◽  
pp. 2025-2032 ◽  
Author(s):  
Jessica JM Telleria ◽  
Marc R Safran ◽  
John N Gardi ◽  
Alex HS Harris ◽  
James M Glick
Keyword(s):  
Sciatic Nerve ◽  
Hip Arthroscopy ◽  
Traction Injury

Correlation Between Skin Biopsy With Quantification of Intraepidermal Nerve Fiber and the Severity of Sciatic Nerve Traction Injury in Rats

2009 ◽  
Vol 66 (3) ◽  
pp. 737-742 ◽  
Author(s):  
Ching-Hua Hsieh ◽  
Seng-Feng Jeng ◽  
Tsu-Hsiang Lu ◽  
Johnson Chia-Shen Yang ◽  
Min-Wei Hsieh ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Skin Biopsy ◽  
Nerve Fiber ◽  
Traction Injury ◽  
Intraepidermal Nerve Fiber

scholarly journals Management of Sciatica: Conservative Versus Surgical

1970 ◽  
Vol 26 (3) ◽  
pp. 142-146
Author(s):  
Md Shahidur Rahman ◽  
Mohd Taslim Uddin ◽  
Md Ahsanulla
Keyword(s):  
Surgical Treatment ◽  
Sciatic Nerve ◽  
Key Words ◽  
Patient Preference ◽  
Decision Process ◽  
Treatment Options ◽  
Care Patient ◽  
Conservative Care ◽  
Disc Surgery ◽  
Over Time

Many peoples suffer from sciatica, which is a mechanical pain along sciatic nerve distribution. There is lot of controversy over superiority of either conservative or surgical treatment. The aim of the present review is to compare the efficacy of both sides of treatment options. In all available studies it seems that a substantial proportion of patients improve over time. This holds true for patients undergoing surgery or receiving conservative care. Patients undergoing disc surgery are more likely to get quicker relief of leg symptoms than patients receiving conservative care. If symptoms do not improve after 6-8 weeks, patients may opt for disc surgery. Those who are hesitant about surgery and can cope with their symptoms may opt for continued conservative care. Patient preference is therefore an important feature in the decision process. Key words: Sciatica, management, conservative, surgical. DOI: 10.3329/jbcps.v26i3.4198 J Bangladesh Coll Phys Surg 2008; 26: 142-146

Endoneural metastasis of the sciatic nerve disclosing the relapse of a renal carcinoma, four years after its surgical treatment

2006 ◽  
Vol 73 (6) ◽  
pp. 760-762 ◽  
Author(s):  
Stéphane Varin ◽  
Alexis Faure ◽  
Pascal Bouc ◽  
Yves Maugars ◽  
Jean-Marie Berthelot
Keyword(s):  
Surgical Treatment ◽  
Sciatic Nerve ◽  
Renal Carcinoma

scholarly journals SURGICAL TREATMENT OF PERIPHERAL NERVES COMBAT WOUNDS OF THE EXTREMITIES

2021 ◽  
Vol 74 (3) ◽  
pp. 619-624
Author(s):  
Vitalii I. Tsymbaliuk ◽  
Sergii S. Strafun ◽  
Ihor B. Tretyak ◽  
Iaroslav V. Tsymbaliuk ◽  
Alexander A. Gatskiy ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Sciatic Nerve ◽  
Peripheral Nerves ◽  
Pain Syndrome ◽  
Common Peroneal Nerve ◽  
Combat Trauma ◽  
Diagnostic Measures ◽  
Combat Injuries ◽  
Recovery Of Motor Function ◽  
Degree Of Recovery

The aim: Improving the effectiveness of patients' treatment with combat injuries of the peripheral nervous system, which consists in the application and development of new methods of reconstructive interventions, optimizing a set of therapeutic and diagnostic measures for the most effective management of this category of patients with peripheral nerve injury. Materials and methods: The research is based on the results of surgical treatment of 138 patients with combat injuries of peripheral nerves for the period from 2014 to 2020. The mean age was 33.5 ± 2.1 years. Patients were treated for 1 to 11 months after injury (median – 8 months). Damage to the sciatic nerve was observed in 26.1%, ulnar – in 20.3%, median – in 18.8%, radial – in 15.9%, tibial – in 10.9%, common peroneal nerve – in 8% of cases. Results: It was shown that in all patients was significantly improved the recovery of all nerves. In the period from 9 to 12 months, the degree of recovery of motor function to M0-M2 was observed in 40.6%, to M3 – in 35.5%, to M4 – in 16.7%, to M5 – in 7,2%. The degree of recovery of sensitivity to S0-S2 was observed in 36.2%, to S3 – in 42.8%, to S4 – in 17.4%, to S5 – in 3.6%. Regression of pain syndrome after surgery was observed in 81.2% of patients. Conclusions: The results of surgical treatment of peripheral nerves gunshot injury are generally worse than other types of nerve injuries. The best results of surgical treatment of combat trauma of peripheral nerves are obtained in patients with sciatic nerve damage.

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