SCIATIC NERVE INJURY: LEGAL CASES

Abstract

Objective: Sciatic nerve (SN) injuries may occur as a result of traumatic events or in result ofmedical interventions during the injections. This study was carried out to determine the causesof sciatic nerve injury which was subject to judicial scrutiny.Method: 16,827 cases were analyzed between the years 2002 and 2011 which were sent toDepartment of Forensic Medicine of Atatürk University were evaluated retrospectively. A totalof 21 SN injury cases were evaluated Results: The reason of SN injury were in 10 cases (47.6%) intramusculer (IM) injection. InEMG of these 10 cases (47.6%) were identified as tibial-peroneal nerve injury. Physicalexaminations showed foot drop in 7 cases (33.3%) and dorsiflexion or plantar flexion weaknessin 8 cases (38.1%).Conclusion: More than half of the cases of SN injury were due to IM injection. For that reason,IM injection should be made by authorized medical staff and these staff should be well educated

Keywords

• Sciatic nerve injury,intramuscular injection,foot drop,legal case

Siyatik Sinir Yaralanmasi: Adli Olgular

Abstract

Amaç: Siyatik sinir (SN) yaralanması travmatik olay sonucu olarak ya da enjeksiyon esnasındatıbbi müdahale sonucu olabilir. Bu çalışmada adli incelemeye konu olan siyatik siniryaralanmaları ve nedenlerini belirlemek amacıyla yapıldı.Yöntemler: 2002-2011 yılları arasında Atatürk Üniversitesi Adli Tıp Anabilim Dalındadüzenlenen 16.827 olguya ait raporlar retrospektif olarak incelendi. Toplam 21 SN yaralanmasıbelirlenerek olgular değerlendirildi. Bulgular: SN yaralanması 10 (%47.6) olguda intramüsküler (IM) enjeksiyona bağlıydı.EMG’de 10 (%47.6) olguda tibial-peroneal sinir hasarı saptandı. Fiziksel muayenede 7 (%33.3)olguda düşük ayak, 8 (%38.1) olguda dorsifleksiyon veya plantar fleksiyon kaybı saptandı. Sonuç: SN hasarı olan olguların yaklaşık yarısı IM enjeksiyona bağlı gelişmiştir. Bu sebepleSN yaralanması gelişmemesi için IM enjeksiyonlar yetkili sağlık personelince yapılmalı vesağlık personeli bu konuda eğitilmelidir

Keywords

• Siyatik sinir hasarı,intramuskuler enjeksiyon,düşük ayak,adli vaka

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