Sciatic nerve

Source: Wikipedia, the free encyclopedia.
Sciatic nerve
L4-S3)
ToTibial and common fibular nerve
InnervatesLateral rotator group (except piriformis and quadratus femoris) and the posterior compartment of thigh
Identifiers
Latinnervus ischiadicus
MeSHD012584
TA98A14.2.07.046
TA26569
FMA19034
Anatomical terms of neuroanatomy]

The sciatic nerve, also called the ischiadic nerve, is a large

L4 to S3. It contains fibers from both the anterior and posterior divisions of the lumbosacral plexus
.

Structure

In humans, the sciatic nerve is formed from the L4 to S3 segments of the sacral plexus, a collection of nerve fibres that emerge from the

piriformis and through the greater sciatic foramen, exiting the pelvis.[1]: 422–4  From here, it travels down the posterior thigh to the popliteal fossa. The nerve travels in the posterior compartment of the thigh behind (superficial to) the adductor magnus muscle, and is itself in front of (deep to) the long head of the biceps femoris muscle. At the popliteal fossa, the nerve divides into its two branches:[1]
: 532 

The sciatic nerve is the largest nerve in the human body.[1]: 422–4 [2][3]

3D still showing Sciatica.
Tibial and common fibular nerve (aka common peroneal nerve)

Development

Function

The sciatic nerve supplies sensation to the skin of the foot, as well as the entire lower leg (except for its inner side). Sensation to skin to the sole of the foot is provided by the tibial nerve, and the lower leg and upper surface of the foot via the common fibular nerve.[1]: 422–4 

The sciatic nerve also innervates muscles. In particular:[1]: 422–4 

Clinical significance

Sciatica

Pain caused by a compression or irritation of the sciatic nerve by a problem in the lower back is called

sneezing.[5]

Injury

Sciatic nerve injury occurs between 0.5% and 2.0% of the time during a hip replacement.[6] Sciatic nerve palsy is a complication of total hip arthroplasty with an incidence of 0.2% to 2.8% of the time, or with an incidence of 1.7% to 7.6% following revision.[7] Following the procedure, in rare cases, a screw, broken piece of trochanteric wire, fragment of methyl methacrylate bone cement, or of a Burch-Schneider antiprofusio cage can impinge on the nerve; this can cause sciatic nerve palsy which may resolve after the fragment is removed and the nerve freed. The nerve can be surrounded in oxidized regenerated cellulose to prevent further scarring. Sciatic nerve palsy can also result from severe spinal stenosis following the procedure, which can be addressed by spinal decompression surgery.[6][8] It is unclear if inversion therapy is able to decompress the sacral vertebrae; it may only work on the lumbar aspects of the sciatic nerves.

Sciatic nerve injury may also occur from improperly performed injections into the buttock, and may result in sensory loss.[9]: 66 

Other disease

Bernese periacetabular osteotomy resulted in major nerve deficits in the sciatic or femoral nerves in 2.1% of 1760 patients, of whom approximately half experienced complete recovery within a mean of 5.5 months.[10]

Sciatic nerve exploration can be done by

quadratus femoris or by hamstring tendon scarring.[12]

Anesthetic

Signals from the sciatic nerve and its branches can be blocked, in order to interrupt transmission of

.

Society and culture

According to

Hebrew: Gid hanasheh) may not be eaten by Jews, to commemorate Jacob's injury in his struggle with an angel.[13]

Additional images

  • Sciatic nerve.
    Sciatic nerve.
  • Structures surrounding left hip-joint.
    Structures surrounding left hip-joint.
  • Nerves of the right lower extremity. Posterior view.
    Nerves of the right lower extremity. Posterior view.
  • Sciatic nerve.
    Sciatic nerve.
  • Sciatic nerve.
    Sciatic nerve.
  • Sciatic nerve.
    Sciatic nerve.

See also

Notes

  1. plantaris
    of the superficial part of the compartment.
  2. ^ Namely the tibialis anterior, extensor hallucis longus, extensor digitorum longus, and fibularis tertius (peroneus tertius) of the anterior compartment, and the Fibularis longus and brevis of the lateral compartment.

References

Public domain This article incorporates text in the public domain from page 960 of the 20th edition of Gray's Anatomy (1918)

  1. ^ .
  2. ^ "What Is Sciatica?". WebMD. Medically Reviewed by Tyler Wheeler. Retrieved 12 May 2022.{{cite web}}: CS1 maint: others (link)
  3. .
  4. ^ "Sciatica - Topic Overview". WebMD. 21 July 2010. Retrieved 23 April 2012.
  5. ^ "What is sciatica: What causes sciatica?". MedicalBug. 11 April 2012. Retrieved 23 April 2012.
  6. ^
    PMID 9726326
    .
  7. .
  8. .is cited by Stiehl and Stewart for the 0.5-2.0% figure.
  9. .
  10. .
  11. .
  12. .
  13. ^ Goldberger, Moshe. "1: Not to Eat the Gid HaNasheh". The First Prohibitions. Retrieved 10 March 2014.

External links