Variant anatomy of sciatic nerve and their clinical implications (Siyatik sinirin varyasyon anatomisi ve klinik yansımaları)
  
Yazarlar (5)
Zühre Aslı İkiz Ege Üniversitesi, Türkiye
Okan Bilge Ege Üniversitesi, Türkiye
Hülya Üçerler Ege Üniversitesi, Türkiye
Servet Çelik Ege Üniversitesi, Türkiye
Doç. Dr. Erengül BODUÇ Kafkas Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale)
Dergi Adı Ege Tıp Dergisi
Dergi ISSN 1016-9113
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce Basım Tarihi 06-2018
Cilt / Sayı / Sayfa 57 / 2 / 88–93 DOI 10.19161/etd.414980
Makale Linki http://egetipdergisi.com.tr/en/download/article-file/457263
Özet
Aim: The
aim of present study was to demonstrate the variations of piriformis muscle,
sciatic nerve and its branches and discuss their clinical importance.Materials and Methods: Fifty-two gluteal and lower limb regions of 26 formalin fixed male
cadavers were evaluated in Ege University Faculty of Medicine, Department of Anatomy.
The anatomical relationship between the sciatic nerve and the piriformis
muscle, and division level of sciatic nerve in thigh was recorded. Results: The
sciatic nerve exited the pelvis as a single branch through the infrapiriform
foramen with no variation in 84.62% of the lower limbs. The division variations
of sciatic nerve were determined in 23.08%. In 8 of 12 high divisions were
observed in gluteal regions (15.38%). The common peroneal nerve and the tibial
nerve entered deep gluteal region via the greater sciatic foramen below
piriformis muscle separately in four lower limbs (7.69%). Two separate nerve
divisions passed above and through (or below) the piriformis muscle and then
combined together to form common peroneal nerve while tibial nerve passing
below the piriformis muscle in 4 lower limbs (7.69%). In 2 of 12, high division
occurred in the 1/3 upper portion of the thigh unilaterally (3.85%). The division
of sciatic nerve in the popliteal fossa was seen in two lower limbs (3.85%).





Conclusion: The clinical importance of the sciatic nerve around the piriformis
muscle or in the thigh was discussed for piriformis syndrome, palsy after total
hip arthroplasty, intramuscular injections in gluteal region and failed
popliteal nerve block.
Anahtar Kelimeler