{"id":451,"date":"2017-03-30T16:49:24","date_gmt":"2017-03-30T16:49:24","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=451"},"modified":"2017-03-30T16:49:24","modified_gmt":"2017-03-30T16:49:24","slug":"ijar-2017-123","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-123","title":{"rendered":"IJAR.2017.123"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong>\u00a0 Original Research<\/h3>\n

Volume 5; Issue 1 (March\u00a02017)<\/strong><\/h3>\n

Page No.:<\/strong> 3622-3624<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.123<\/h3>\n

PATTERNS OF SCIATIC NERVE BIFURCATION AND THEIR CLINICAL RELEVANCE<\/h3>\n

Naveena\u00a0 Swargam *1<\/sup>,\u00a0 Shabana\u00a0 Sultana 2<\/sup>.<\/strong><\/p>\n

*1<\/sup> Associate Professor, \u00a0Department \u00a0of \u00a0Anatomy, \u00a0ESIC \u00a0Medical College, \u00a0Sanathnagar, Hyderabad, \u00a0Telangana \u00a0State, \u00a0India.<\/p>\n

2<\/sup> \u00a0Tutor, \u00a0Department \u00a0of \u00a0Anatomy, \u00a0Apollo\u00a0 Institute \u00a0of \u00a0Medical \u00a0Sciences \u00a0and \u00a0Research, \u00a0Hyderabad, \u00a0Telangana \u00a0State, \u00a0India.<\/p>\n

*Corresponding Author:<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dr. Naveena Swargam, Associate Professor,\u00a0 Department\u00a0 of\u00a0 Anatomy,\u00a0 ESIC\u00a0 Medical College,\u00a0 Sanathnagar, Hyderabad,\u00a0 Telangana\u00a0 State,\u00a0 India. \u00a0Ph. No.<\/strong>\u00a0\u00a0 09885124371 E-Mail:<\/strong>\u00a0 naveena.swargam@yahoo.com<\/p>\n

ABSTRACT<\/strong><\/p>\n

Introduction:<\/strong> Sciatic nerve is the largest nerve in \u00a0the \u00a0body. \u00a0It \u00a0originates \u00a0from \u00a0the \u00a0sacral \u00a0plexus \u00a0from \u00a0L4-S3 \u00a0roots \u00a0in \u00a0the \u00a0form \u00a0of \u00a0two \u00a0nerve \u00a0trunks. \u00a0The \u00a0Tibial \u00a0nerve \u00a0and \u00a0Common peroneal \u00a0nerve \u00a0are \u00a0encompassed \u00a0by \u00a0single \u00a0epineural \u00a0sheath \u00a0and \u00a0eventually \u00a0separates. \u00a0Variations \u00a0in \u00a0the\u00a0 level \u00a0of \u00a0bifurcation \u00a0of \u00a0the \u00a0sciatic \u00a0nerve \u00a0are \u00a0common \u00a0and \u00a0being \u00a0reported \u00a0by \u00a0several \u00a0authors. \u00a0The \u00a0bifurcation \u00a0into \u00a0its\u00a0 two \u00a0major \u00a0trunks \u00a0may \u00a0occur \u00a0anywhere \u00a0between \u00a0the \u00a0sacral \u00a0plexus \u00a0and \u00a0popliteal \u00a0space. \u00a0Significant \u00a0number \u00a0of \u00a0variations \u00a0in \u00a0the \u00a0bifurcation, \u00a0course, \u00a0relation \u00a0and \u00a0distribution \u00a0of \u00a0its\u00a0 branches \u00a0were \u00a0encountered \u00a0in \u00a0sciatic nerve. \u00a0These \u00a0variations \u00a0may \u00a0cause \u00a0nerve \u00a0compressions \u00a0under \u00a0other \u00a0anatomic \u00a0structures, \u00a0resulting \u00a0in \u00a0sciatica.<\/p>\n

Materials and Methods:<\/strong> 30 \u00a0lower \u00a0limbs \u00a0were \u00a0dissected \u00a0in \u00a0a \u00a0period \u00a0of \u00a03 \u00a0years \u00a0during\u00a0 the \u00a0routine \u00a0dissection \u00a0to\u00a0 note \u00a0the \u00a0relationship \u00a0between \u00a0piriformis \u00a0muscle \u00a0and \u00a0sciatic \u00a0nerve.\u00a0 Only\u00a0 in\u00a0 2\u00a0 lower\u00a0 limbs\u00a0 the\u00a0 variation\u00a0 in\u00a0 division\u00a0 of\u00a0 sciatic\u00a0 nerve was\u00a0 observed\u00a0 in\u00a0 the\u00a0 present\u00a0 study.<\/p>\n

Results:<\/strong> The \u00a0literature \u00a0was \u00a0reviewed \u00a0and \u00a0the \u00a0results \u00a0were \u00a0summarized \u00a0to \u00a0compare \u00a0the \u00a0incidence \u00a0with \u00a0the \u00a0previous \u00a0studies. \u00a0Incidence \u00a0of \u00a0this \u00a0variation \u00a0in \u00a0general \u00a0population \u00a0needs \u00a0to \u00a0be \u00a0investigated \u00a0so \u00a0as \u00a0to \u00a0create \u00a0awareness \u00a0among \u00a0surgeons\u00a0 and \u00a0anaesthetists \u00a0about \u00a0the \u00a0degree \u00a0and \u00a0extent \u00a0of \u00a0variation \u00a0in \u00a0sciatic \u00a0nerve \u00a0formation. \u00a0Complete \u00a0sciatic \u00a0nerve \u00a0blockages \u00a0will \u00a0fail \u00a0even \u00a0after \u00a0multiple \u00a0punctures\u00a0 and \u00a0attempts \u00a0if \u00a0the \u00a0sciatic \u00a0nerve \u00a0is \u00a0present\u00a0 as \u00a0separately \u00a0sheathed \u00a0bundles \u00a0until \u00a0the \u00a0lower \u00a0gluteal \u00a0level.<\/p>\n

Conclusion:<\/strong> The \u00a0aim \u00a0of \u00a0this \u00a0study \u00a0was\u00a0 to \u00a0provide \u00a0and \u00a0define \u00a0the \u00a0level \u00a0of \u00a0the \u00a0sciatic \u00a0nerve \u00a0exit, \u00a0its \u00a0divisions \u00a0and \u00a0its \u00a0anatomical \u00a0variations \u00a0obtained \u00a0from \u00a0human \u00a0cadavers. \u00a0The \u00a0availability\u00a0 of\u00a0 assessment \u00a0of \u00a0level \u00a0of \u00a0bifurcation \u00a0of \u00a0sciatic\u00a0 nerve \u00a0was \u00a0minimal \u00a0in \u00a0the \u00a0Indian \u00a0literature \u00a0so \u00a0this\u00a0 study \u00a0was \u00a0taken \u00a0to\u00a0 focus \u00a0a\u00a0 fresh\u00a0 light\u00a0 on\u00a0 the \u00a0frequency \u00a0of \u00a0the \u00a0level \u00a0of \u00a0bifurcation \u00a0of \u00a0sciatic \u00a0nerve. \u00a0The \u00a0differences \u00a0in \u00a0the \u00a0exit \u00a0of \u00a0two \u00a0divisions\u00a0 of\u00a0 sciatic\u00a0 nerve \u00a0are \u00a0important \u00a0in \u00a0clarifying \u00a0the \u00a0clinical \u00a0etiology \u00a0and\u00a0 treatment \u00a0of \u00a0pyriformis \u00a0syndrome.<\/p>\n

Key \u00a0words:\u00a0 <\/strong>Sacral \u00a0plexus, \u00a0Epineural \u00a0sheath, \u00a0Sciatica, \u00a0Pyriformis \u00a0syndrome..<\/p>\n

REFERENCES<\/strong><\/p>\n

    \n
  1. Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve. 2009;40(1):10-8.<\/li>\n
  2. Smoll NR. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clin Anat 2010;23(1):8-17.<\/li>\n
  3. Vicente EJD, Viotto MJS, Barbosa CAA, et al. Study on anatomical relationships and variations be\u00adtween the sciatic nerve and piriform muscle. Rev Bras Fisioter 2007;11(3):227-32.<\/li>\n
  4. Yoon SJ, Ho J, Kang HY, et al. Low-dose botulinum toxin type A for the treatment of refractory piriformis syndrome. Pharmacotherapy. 2007;27(5):657-65.<\/li>\n
  5. Stewart JD. The piriformis syndrome is over diag\u00adnosed. Muscle Nerve 2003;28(5):644\u20136.<\/li>\n
  6. Kathe Dinesh Prakash et al. Study of anatomical variations of the sciatic nerve and its importance to clinicians and anaesthetist. International Journal of Current Research. 2014;6(7):7518-7521.<\/li>\n
  7. Moore KL, Dalley AF. Clinical Oriented Anatomy, 4th edition, Baltimore Lippincott Williams and Wilkins: 1999;558.<\/li>\n<\/ol>\n

    \n\t\t\t

    \n \t Cite this article:<\/strong><\/span> Naveena Swargam, Shabana Sultana. PATTERNS OF SCIATIC NERVE BIFURCATION AND THEIR CLINICAL RELEVANCE. Int J Anat Res 2017;5(1):3622-3624. DOI:\u00a0<\/strong>10.16965\/ijar.2017.123 \u00a0\n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0 Original Research Volume 5; Issue 1 (March\u00a02017) Page No.: 3622-3624 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.123 PATTERNS OF SCIATIC NERVE BIFURCATION AND THEIR CLINICAL RELEVANCE Naveena\u00a0 Swargam *1,\u00a0 Shabana\u00a0 Sultana 2. *1 Associate Professor, \u00a0Department \u00a0of \u00a0Anatomy, \u00a0ESIC \u00a0Medical College, \u00a0Sanathnagar, Hyderabad, \u00a0Telangana \u00a0State, \u00a0India. 2 \u00a0Tutor, \u00a0Department \u00a0of \u00a0Anatomy, \u00a0Apollo\u00a0 Institute \u00a0of \u00a0Medical \u00a0Sciences \u00a0and \u00a0Research,
    + Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/451"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=451"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/451\/revisions"}],"predecessor-version":[{"id":452,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/451\/revisions\/452"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}