1983
DOI: 10.1001/archneur.1983.04050020089025
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Sciatic Neuropathy Induced by the Lithotomy Position

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1986
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Cited by 16 publications
(5 citation statements)
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“…The pathogenesis of lithotomy-related SN is poorly understood; it is hypothesized that individuals with persistent fetal sciatic artery may be predisposed to SN in this position. 9,10 Other iatrogenic causes included SN after serial casting for clubfoot (1); the mechanism of SN is unclear although some form of compression seems likely. IM injections, formerly a frequent cause of SN, are now uncommon; only one case attributable to gluteal injection was identified in this series.…”
Section: Resultsmentioning
confidence: 99%
“…The pathogenesis of lithotomy-related SN is poorly understood; it is hypothesized that individuals with persistent fetal sciatic artery may be predisposed to SN in this position. 9,10 Other iatrogenic causes included SN after serial casting for clubfoot (1); the mechanism of SN is unclear although some form of compression seems likely. IM injections, formerly a frequent cause of SN, are now uncommon; only one case attributable to gluteal injection was identified in this series.…”
Section: Resultsmentioning
confidence: 99%
“…In a study by Singhal et al, (5) which investigated the predisposing risk factors for PN following liver transplantation, the following characteristics were found to be associated with PN: tall and slender body shape (BMI < 20 kg/m 2 ), a history of severe and rapid weight loss (> 15 kg in six months), and poor nutritional status (35 mg/dL < serum cholesterol < 56 mg/dL). Other studies have identified a number of other features as potential risk factors for lower extremity neuropathies in the perioperative period, and this includes thin body shape, (5) a history of smoking, (17) a history of alcohol use, (18) presence of diabetes mellitus, (19) anatomic anomalies, (20) prolonged duration in lithotomy, (5) and positioning beyond the comfortable range of motion. (19) Patients who develop PN after liver transplantation are usually treated conservatively using physical therapy, with gradual improvement over time.…”
Section: Discussionmentioning
confidence: 99%
“…21 Both these procedures rely on the hip flexed position, which tensions the sciatic nerve as it courses around the sciatic notch and increases the risk for nerve stretch, compression, and/or ischemia. [22][23][24][25] The clinical picture for spontaneous recovery has recently been described for patients with closed, high sciatic nerve injury. In a cohort of 18 patients, 94% spontaneously regained knee flexion to Medical Research Council (MRC) ≥ 3 and 61% recovered plantar flexion to MRC ≥ 3.…”
Section: Accepted Manuscriptmentioning
confidence: 99%
“…21 Both these procedures rely on the hip flexed position, which tensions the sciatic nerve as it courses around the sciatic notch and increases the risk for nerve stretch, compression, and/or ischemia. 22 23 24 25…”
Section: Sciatic Nerve Etiology For Foot Dropmentioning
confidence: 99%