Cadavaric Study of Variations in Divisions of Sciatic Nerve

Introduction: Sciatica is the pain caused by a compression or irritation of the Sciatic Nerve (SN) and the symptoms include nerve pain, numbness, tingling, and weakness. The clinical values are unilateral or bilateral higher break of SN that result in compression of nerve that leads to piriformi...

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Main Authors: Zarna Pate, Sudarshan Gupta, Hiren Chavda, Nishita Jethava
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2017-04-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:http://www.ijars.net/articles/PDF/2271/27153_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf
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author Zarna Pate
Sudarshan Gupta
Hiren Chavda
Nishita Jethava
author_facet Zarna Pate
Sudarshan Gupta
Hiren Chavda
Nishita Jethava
author_sort Zarna Pate
collection DOAJ
description Introduction: Sciatica is the pain caused by a compression or irritation of the Sciatic Nerve (SN) and the symptoms include nerve pain, numbness, tingling, and weakness. The clinical values are unilateral or bilateral higher break of SN that result in compression of nerve that leads to piriformis syndrome. This pressure on nerve results in paralysis of the supplied muscles and sensory disturbances. Aim: To observe the variations in the site of divisions of SN and relation to the piriformis muscle. Materials and Methods: This cross-sectional study was carried out after taking ethical approval from Institutional Ethical Committee (IEC) of present institute during year 2015 with duration of one and half year at Anatomy Department of GMERS Medical College, Gandhinagar in about 30 properly embalmed cadavers (total 60 lower limb/extremities) during routine dissection. Results: Total of 60 gluteal regions were examined for the variation in the course and division of the SN. Among them in 51 lower limbs (85%) the SN had a normal course after its exit below the piriformis and divided into tibial nerve and common peroneal nerve at the superior angle of popliteal fossa, while in nine lower limbs (15%) there were higher division site of SN observed. Conclusion: During posterior hip operations, this high division develops in sciatica, nerve injury during deep intramuscular injections, piriformis syndrome, failed sciatic nerve block in anesthesia and injury. Lower limb surgeries and in the interpretation of sciatic neuropathy can be complicated by variation in division of SN.
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spelling doaj.art-afb852c3c7c94afc8cfaeecb42a646502022-12-21T23:42:25ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742017-04-0162AO15AO1910.7860/IJARS/2017/27153:2271Cadavaric Study of Variations in Divisions of Sciatic NerveZarna Pate0Sudarshan Gupta1Hiren Chavda2Nishita Jethava3Assistant Professor, Department of Anatomy, Gujarat Medical Education Research Society, Gandhinagar, Gujarat, India.Associate Professor, Department of Anatomy, Gujarat Medical Education Research Society, Gandhinagar, Gujarat, India.Assistant Professor, Department of Anatomy, Gujarat Medical Education Research Society, Gandhinagar, Gujarat, India.Tutor, Department of Anatomy, Gujarat Medical Education Research Society, Gandhinagar, Gujarat, India.Introduction: Sciatica is the pain caused by a compression or irritation of the Sciatic Nerve (SN) and the symptoms include nerve pain, numbness, tingling, and weakness. The clinical values are unilateral or bilateral higher break of SN that result in compression of nerve that leads to piriformis syndrome. This pressure on nerve results in paralysis of the supplied muscles and sensory disturbances. Aim: To observe the variations in the site of divisions of SN and relation to the piriformis muscle. Materials and Methods: This cross-sectional study was carried out after taking ethical approval from Institutional Ethical Committee (IEC) of present institute during year 2015 with duration of one and half year at Anatomy Department of GMERS Medical College, Gandhinagar in about 30 properly embalmed cadavers (total 60 lower limb/extremities) during routine dissection. Results: Total of 60 gluteal regions were examined for the variation in the course and division of the SN. Among them in 51 lower limbs (85%) the SN had a normal course after its exit below the piriformis and divided into tibial nerve and common peroneal nerve at the superior angle of popliteal fossa, while in nine lower limbs (15%) there were higher division site of SN observed. Conclusion: During posterior hip operations, this high division develops in sciatica, nerve injury during deep intramuscular injections, piriformis syndrome, failed sciatic nerve block in anesthesia and injury. Lower limb surgeries and in the interpretation of sciatic neuropathy can be complicated by variation in division of SN.http://www.ijars.net/articles/PDF/2271/27153_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdfcommon peroneal nervepiriformis muscletibial nerve
spellingShingle Zarna Pate
Sudarshan Gupta
Hiren Chavda
Nishita Jethava
Cadavaric Study of Variations in Divisions of Sciatic Nerve
International Journal of Anatomy Radiology and Surgery
common peroneal nerve
piriformis muscle
tibial nerve
title Cadavaric Study of Variations in Divisions of Sciatic Nerve
title_full Cadavaric Study of Variations in Divisions of Sciatic Nerve
title_fullStr Cadavaric Study of Variations in Divisions of Sciatic Nerve
title_full_unstemmed Cadavaric Study of Variations in Divisions of Sciatic Nerve
title_short Cadavaric Study of Variations in Divisions of Sciatic Nerve
title_sort cadavaric study of variations in divisions of sciatic nerve
topic common peroneal nerve
piriformis muscle
tibial nerve
url http://www.ijars.net/articles/PDF/2271/27153_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf
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AT nishitajethava cadavaricstudyofvariationsindivisionsofsciaticnerve