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    IR - 036 Sciatic Nerve

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    Muhammad Shakeel
    The document provides information about examining the sciatic nerve, including: 1) The sciatic nerve is the largest nerve in the body, originating from the lumbar and sacral plexus and dividing into the tibial and common peroneal nerves, supplying muscles in the leg and foot. 2) A sciatic nerve injury results in complete loss of sensation and function below the knee. On examination, there is no sensation to touch, pain, or temperature and no movement of the ankle, foot, or toes. 3) Examining the sciatic nerve involves looking for foot drop, testing sensations and movements below the knee, and grading any muscle weakness on a scale from 0 to 5.

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    Download as PDF, TXT or read online from Scribd

    IR - 036 Sciatic Nerve

    Uploaded by

    Muhammad Shakeel
    70 views2 pages
    The document provides information about examining the sciatic nerve, including: 1) The sciatic nerve is the largest nerve in the body, originating from the lumbar and sacral plexus and dividing into the tibial and common peroneal nerves, supplying muscles in the leg and foot. 2) A sciatic nerve injury results in complete loss of sensation and function below the knee. On examination, there is no sensation to touch, pain, or temperature and no movement of the ankle, foot, or toes. 3) Examining the sciatic nerve involves looking for foot drop, testing sensations and movements below the knee, and grading any muscle weakness on a scale from 0 to 5.

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    IR- 036 Sciatic Nerve

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    The document provides information about examining the sciatic nerve, including: 1) The sciatic nerve is the largest nerve in the body, originating from the lumbar and sacral plexus and dividing into the tibial and common peroneal nerves, supplying muscles in the leg and foot. 2) A sciatic nerve injury results in complete loss of sensation and function below the knee. On examination, there is no sensation to touch, pain, or temperature and no movement of the ankle, foot, or toes. 3) Examining the sciatic nerve involves looking for foot drop, testing sensations and movements below the knee, and grading any muscle weakness on a scale from 0 to 5.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    70 views2 pages

    IR - 036 Sciatic Nerve

    Uploaded by

    Muhammad Shakeel
    The document provides information about examining the sciatic nerve, including: 1) The sciatic nerve is the largest nerve in the body, originating from the lumbar and sacral plexus and dividing into the tibial and common peroneal nerves, supplying muscles in the leg and foot. 2) A sciatic nerve injury results in complete loss of sensation and function below the knee. On examination, there is no sensation to touch, pain, or temperature and no movement of the ankle, foot, or toes. 3) Examining the sciatic nerve involves looking for foot drop, testing sensations and movements below the knee, and grading any muscle weakness on a scale from 0 to 5.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    M.

    Shuja Tahir
    Faisalabad, Pakistan IR-036
    Clinical Skills

    EXAMINATION OF
    SCIATIC NERVE
    ANATOMY There is complete loss of function of
    It is the largest nerve in the body and muscles below the knee joint in
    forms the greatest part of sacral plexus. complete sciatic nerve injuries.

    The Root Value of sciatic nerve is There is complete loss of sensation


    Lumbar 4,5 Sacral 1,2,3. It divides into over lower legs and feet.
    two branches at variable level. Tibial
    nerve and common peroneal nerve. FEEL
    Check fine touch, pin prick and
    It supplies; temperature sensation.
    Semi membranosus
    Semitendinosus There is complete loss of sensations
    Part of adductor magnus below the knee except for an area
    Both heads of biceps femoris along the medial side of leg over the
    Skin of foot and most of the leg medial malleolus and down to hallux.

    The sciatic nerve is injured due to MOVE


    misplaced intra-gluteal injections, Check movements of the joints below
    penetrating wounds or missile injuries the knee. (ankle, tarsometatarsal &
    of buttock area. It may also be injured inter phalangeal joints.
    in posterior dislocation of hip joint.
    Failure to do is due to paralysis of all
    SPECIAL INTERVIEW the muscles.
    History of buttock injury or hip
    dislocation should always be asked. Check flexion at knee joint ;

    EXPOSURE AND POSITION Weakness is due to paralysis of some


    The examination is conducted in a of the muscles.
    lying patient with both lower limbs
    completely exposed. Check that no bony injury is present.
    Ask the patient to move his big toe.
    Patient may wear underpants only.
    Failure to flex it is due to paralysis of
    CLINICAL ASSESSMENT the medial popliteal and posterior
    LOOK tibial nerves.
    Look for foot drop
    Ask the patient to walk on tip toes; Failure to extend the big toe is due to
    He/she is unable to walk on affected paralysis of lateral popliteal and
    side. anterior tibial nerves.

    109 April to June, 2010 INDEPENDENT REVIEWS


    Sensory, motor and vasomotor CHECK LIST
    changes are examined for adequate
    assessment of the neuronal injury.
    SPECIAL INTERVIEW
    LOOK
    Motor function grading is described as
    below ; for Foot drop
    inability to walk on affected side
    Grade Power FEEL
    0
    1
    No contraction Sensation below knee joint on whole
    Flicker or trace of contraction leg and foot
    2
    Active movement in a plane perpendicular to
    3
    gravity MOVE
    Active movement against gravity
    4
    Active movement against gravity and resistance Ankle joint and foot joints
    (weaker than normal) Flexion of knee joint
    5
    Normal power Ankle reflex

    The author :
    Muhammad Shuja Tahir
    FRCS (Ed), FCPS (Hon)
    is professor and head of the
    department of Surgery at
    Independent Medical
    College Faisalabad.
    shuja@iu-hospital.com

    April to June, 2010 INDEPENDENT REVIEWS 110

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