OBJECT: The purpose of this retrospective clinical study was to present results and provide management guidelines for various types of @entity130 . METHODS: Over a 24-year period, 380 @entity1 with @entity1930 were managed. In 230 @entity1 (60%), the injury was at the buttock level, with injection injuries comprising more than half of these cases. Thigh-level sciatic injury was evaluated in 150 cases (40%) and was usually secondary to one of four main causes: 1) gunshot wound; 2) femur @entity174 ; 3) laceration; or 4) contusion. @entity1 with @entity51 uncomplicated by severe @entity158 or with significant spontaneous recovery or late referral were managed medically. Surgical exploration was not indicated in 23% of injuries at the thigh level and almost 50% of those at the buttock level. Most of these @entity1 achieved partial but good spontaneous recovery, especially in the tibial division distribution. Surgical intervention was required for more complete and persistent deficits in either the tibial or peroneal distribution. Divisions of the sciatic nerve were split apart and evaluated independently. Management was guided by nerve action potential (NAP) recordings, which indicated whether neurolysis or resection of the lesion was required. Repair was then made by using sutures or more frequently by graft placement. In most cases in which neurolysis was performed because a positive NAP was recorded distal to the lesion, useful function was found in the peroneal distribution. Unfortunately, significant recovery occurred in only 36% of @entity1 who received suture or graft repairs of the peroneal division. Good-to-excellent outcome was common for the tibial division, even in cases in which repair was proximal and required lengthy grafts. The relatively favorable recovery of tibial as opposed to peroneal divisions of the sciatic nerve occurred regardless of the level or mechanism of injury. CONCLUSIONS: Surgical exploration and, when necessary, repair of @entity1930 is worthwhile in selected cases.

Management and results of XXXX : a 24-year experience.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity51 :: ('MESH:D009461', 'Disease') :: ['partial deficits'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1930 :: ('MESH:D020426', 'Disease') :: ['sciatic nerve injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['sciatic injuries']
@entity1930 :: (MESH:D020426,Disease) :: ['sciatic nerve injuries']
