Complex Variations in the Course of the Sciatic Nerve and Origin of the Inferior Gluteal Nerve: A Case Report
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The sciatic nerve (SN) and the inferior gluteal nerve (IGN) exit through the greater sciatic foramen below the piriformis muscle (PM). Its variation is extremely frequent and it may induce clinical symptoms. During an educational dissection in gluteal region, variation in SN and IGN was found. The common fibular nerve (CFN) portion of the SN pierced the PM and then, it gave off a small branch to the gluteus maximus muscle, as IGN. We reported this rare variation and discussed its clinical significance.
Abstract
The sciatic nerve (SN) and the inferior gluteal nerve (IGN) exit through the greater sciatic foramen below the piriformis muscle (PM). Its variation is extremely frequent and it may induce clinical symptoms. During an educational dissection in gluteal region, variation in SN and IGN was found. The common fibular nerve (CFN) portion of the SN pierced the PM and then, it gave off a small branch to the gluteus maximus muscle, as IGN. We reported this rare variation and discussed its clinical significance.
참고문헌 (15)
- Moore KL, "Clinically oriented anatomy" (2018), Wolters Kluwer
- Sladjana UZ, "Microanatomical structure of the human sciatic nerve", Surg Radiol Anat, 30, pp.619~626 (2008)
- Cassidy L, "Piriformis syndrome : implications of anatomical variations, diagnostic techniques, and treatment options", Surg Radiol Anat, 34, pp.479~486 (2012)
- Güvençer M, "Anatomic considerations and the relationship between the piriformis muscle and the sciatic nerve", Surg Radiol Anat, 30, pp.467~474 (2008)
- Smoll NR, "Variations of the piriformis and sciatic nerve with clinical consequence : a review", Clin Anat, 23, pp.8~17 (2010)
- Paval J, "A case of bilateral high division of sciatic nerve with a variant inferior gluteal nerve", Neuroanatomy, 5, pp.33~34 (2006)
- Yan J, "Variations in the course of the Inferior gluteal nerve and artery : a case report and literature review", Surg Sci, 4, pp.429~ (2013)
- Ling ZX, "The course of the inferior gluteal nerve in the posterior approach to the hip", J Bone Joint Surg Br, 88, pp.1580~1583 (2006)
- Skalak AF, "Relationship of inferior gluteal nerves and vessels : target for application of stimulation devices for the prevention of pressure ulcers in spinal cord injury", Surg Radiol Anat, 30, pp.41~45 (2008)
- Windhofer C, "Relationship between the descending branch of the inferior gluteal artery and the posterior femoral cutaneous nerve applicable to flap surgery", Surg Radiol Anat, 24, pp.253~257 (2002)
- Beaton LE, "The relation of the sciatic nerve and of its subdivisions to the piriformis muscle", Anat Rec, 70, pp.1~5 (1937)
- Anbumani T, "Sciatic nerve and its variations : an anatomical study", Int J Anat Res, 3, pp.1121~1127 (2015)
- Fishman LM, "Piriformis syndrome : diagnosis, treatment, and outcome-a 10-year study", Arch Phys Med Rehabil, 83, pp.295~301 (2002)
- Sumalatha S, "An unorthodox innervation of the gluteus maximus muscle and other associated variations : A case report", Australas Med J, 7, pp.419~422 (2014)
- Poutoglidou F, "Sciatic Nerve Variants and the Piriformis Muscle : A Systematic Review and Meta-Analysis", Cureus, 12, pp.e11531~ (2020)
