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KMID : 0377619750290030289
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Korean Jungang Medical Journal
1975 Volume.29 No. 3 p.289 ~ p.292
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Clinical Observation of Drop Foot Cases Following Intragluteal Injection
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Abstract
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Sixteen out-patient cases of drop foot following intragluteal injection were observed in clinical and electrodiagnostic studies and treated by hot packs, electrical stimulation, therapeutic exercises, and braces at Severance Hospital, Yonsei University, during 3 years and 5 months from January 1971 to May 1974.
1) The sex ratio was 11 : 5 (male : female). In age incidence, the majority occurred below 4 years.
2) The involved side ratio was 7 : I (right : left).
3) The interval from paralysis until hospitalization following intragluteal
injection was from 1 week to 4 weeks in the majority of cases.
4) The initial clinical findings after the intragluteal injection were drop foot
10, flail ankle 3, and mild limping 3 cases.
5) Electrodiagnostic findings were partial denervation in 15 and complete dene￢rvation in I among 16 cases. The findings of nerve damage were complete sciatic nerve palsy in 5, common peroneal nerve palsy in 8, and tibial nerve palsy in 3 cases.
6) Eleven among 16 cases were available for follow-up and functional assessment over periods ranging up to 2 years. Six of these recovered completely within periods ranging from about 7 months to 12 months. Four of these showed incomplete recovery. In one of these recovery was not achieved because of the long time since onset of complete sciatic nerve paralysis.
7) In order to prevent this complication it is advised that the buttock be abandoned as a site of injection in infants and children. The lateral aspect of the thigh, at the junction of the distal third and proximal two thirds, offers a relatively large muscle mass without any important underlying neurovascular structures and is recommended as a preferable injection site.
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