Eur J Plast Surg (2011) 34:137–138 DOI 10.1007/s00238-010-0533-2 LETTER TO THE EDITOR Russell James Bramhall & Vikram S. Deveraj Received: 30 August 2010 /Accepted: 10 November 2010 /Published online: 7 December 2010 Springer-Verlag 2010 Sir, by neurotoxic agents injected into or close to the nerve and We would like to highlight gluteal injection whilst abroad direct injury by the hypodermic needle itself. as an important aetiology to be considered as new onset Intramuscular gluteal injections can result in significant sciatic nerve palsies. This is a very common complication potential morbidity, including sciatic nerve palsies, equi- of routine injections in certain parts of the world. novarus deformities, leg length discrepancies (Fig. 1) and Sciatic nerve symptoms are a frequent presentation to trophic ulcers. When these patients present to primary care GP clinics. There are a number of more likely causes, settings in the developed world they frequently have mostly related to intervertebral disc herniation, but trau- language difficulties so the history may be difficult to matic injury following gluteal injections should also be elucidate, making clinical signs more important to interpret considered in select cases. This is particularly important in accurately. The symptoms of sciatic nerve damage can children who
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2011
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