title: Sciatic nerve injection injury.
abstract: Nerve injury is a common complication following intramuscular injection and the sciatic nerve is the most frequently affected nerve, especially in children, the elderly and underweight patients. The neurological presentation may range from minor transient pain to severe sensory disturbance and motor loss with poor recovery. Management of nerve injection injury includes drug treatment of pain, physiotherapy, use of assistive devices and surgical exploration. Early recognition of nerve injection injury and appropriate management are crucial in order to reduce neurological deficit and to maximize recovery. Sciatic nerve injection injury is a preventable event. Total avoidance of intramuscular injection is recommended if other administration routes can be used. If the injection has to be administered into the gluteal muscle, the ventrogluteal region (gluteal triangle) has a more favourable safety profile than the dorsogluteal region (the upper outer quadrant of the buttock).
authors.affiliation: Department of Anaesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju-si, Republic of Korea.
authors.forename: Hyun
authors.initials: H
authors.lastname: Jung Kim
authors.affiliation: Department of Anaesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju-si, Republic of Korea painman70@gmail.com.
authors.forename: Sang
authors.initials: S
authors.lastname: Hyun Park
mesh_terms: D002081:Buttocks / Q000294:innervation; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D010146:Pain / Q000188:drug therapy*; D012584:Sciatic Nerve / Q000293:injuries* / Q000473:pathology; D020426:Sciatic Neuropathy / Q000188:drug therapy* / Q000473:pathology / Q000517:prevention & control*
keywords: Gluteal injection; intramuscular injection; nerve injection injury; sciatic nerve