Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle

Background and aims: The sciatic nerve usually emerges below the Piriformis muscle. Each anatomical variant of sciatic nerve is associated with a specific clinical presentation. The aim of the study was to identify the variants of sciatic nerve and to discuss their clinical importance. Materials and...

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Main Authors: Rashmi Deopujari, Dibya Kishore Satpathi, Ashutosh S Mangalgiri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:National Journal of Clinical Anatomy
Subjects:
Online Access:http://www.njca.info/article.asp?issn=2277-4025;year=2012;volume=1;issue=4;spage=160;epage=164;aulast=Deopujari
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author Rashmi Deopujari
Dibya Kishore Satpathi
Ashutosh S Mangalgiri
author_facet Rashmi Deopujari
Dibya Kishore Satpathi
Ashutosh S Mangalgiri
author_sort Rashmi Deopujari
collection DOAJ
description Background and aims: The sciatic nerve usually emerges below the Piriformis muscle. Each anatomical variant of sciatic nerve is associated with a specific clinical presentation. The aim of the study was to identify the variants of sciatic nerve and to discuss their clinical importance. Materials and methods: Twenty one embalmed cadavers of known age and sex were used for this study. Gluteal regions of both sides were dissected to expose sciatic nerve. Variation of sciatic nerve in relation to piriformis was observed. Results and Conclusion: Out of the 42 dissected specimens - Five showed variations in sciatic nerve. Three specimens (two on right and one on left side) displayed common peroneal branch passing through piriformis. Three specimens (two on right and one on left side) showed tibial nerve emerging below piriformis.In one specimen on left side common peroneal nerve emerged as two parts in relation to piriformis - one passing through piriformis and another below piriformis. Avery unusual variant in which the tibial and common peroneal components of sciatic nerve were sandwiched between the three heads of piriformis muscle is also reported here in one case of right side. These variants are usually misdiagnosed in most of the cases due to similarity of clinical symptoms with low back ache and sciatica. Therefore the possibility of each such variant should be kept in mind by the clinicians.
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spelling doaj.art-4293716b39aa4a09b33548e115ea217d2022-12-21T20:47:58ZengWolters Kluwer Medknow PublicationsNational Journal of Clinical Anatomy2277-40252321-27802012-01-011416016410.4103/2277-4025.297936Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscleRashmi DeopujariDibya Kishore SatpathiAshutosh S MangalgiriBackground and aims: The sciatic nerve usually emerges below the Piriformis muscle. Each anatomical variant of sciatic nerve is associated with a specific clinical presentation. The aim of the study was to identify the variants of sciatic nerve and to discuss their clinical importance. Materials and methods: Twenty one embalmed cadavers of known age and sex were used for this study. Gluteal regions of both sides were dissected to expose sciatic nerve. Variation of sciatic nerve in relation to piriformis was observed. Results and Conclusion: Out of the 42 dissected specimens - Five showed variations in sciatic nerve. Three specimens (two on right and one on left side) displayed common peroneal branch passing through piriformis. Three specimens (two on right and one on left side) showed tibial nerve emerging below piriformis.In one specimen on left side common peroneal nerve emerged as two parts in relation to piriformis - one passing through piriformis and another below piriformis. Avery unusual variant in which the tibial and common peroneal components of sciatic nerve were sandwiched between the three heads of piriformis muscle is also reported here in one case of right side. These variants are usually misdiagnosed in most of the cases due to similarity of clinical symptoms with low back ache and sciatica. Therefore the possibility of each such variant should be kept in mind by the clinicians.http://www.njca.info/article.asp?issn=2277-4025;year=2012;volume=1;issue=4;spage=160;epage=164;aulast=Deopujarisciaticapiriformis syndrometripartiteentrapmentnerve blocklow back pain
spellingShingle Rashmi Deopujari
Dibya Kishore Satpathi
Ashutosh S Mangalgiri
Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
National Journal of Clinical Anatomy
sciatica
piriformis syndrome
tripartite
entrapment
nerve block
low back pain
title Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
title_full Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
title_fullStr Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
title_full_unstemmed Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
title_short Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
title_sort clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle
topic sciatica
piriformis syndrome
tripartite
entrapment
nerve block
low back pain
url http://www.njca.info/article.asp?issn=2277-4025;year=2012;volume=1;issue=4;spage=160;epage=164;aulast=Deopujari
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AT dibyakishoresatpathi clinicalimportanceofanatomicalvariantsofsciaticnerveinrelationtothepiriformismuscle
AT ashutoshsmangalgiri clinicalimportanceofanatomicalvariantsofsciaticnerveinrelationtothepiriformismuscle