Traumatic sciatic nerve injury

Case contributed by Dr Dalia Ibrahim

Presentation

Stab to the posterior aspect of his right thigh about 1 week ago. Now he complains of limited movement of his thigh. Marker was applied to the stab site.

Patient Data

Age: 30 years
Gender: Male
MRI

The stab track appears as a line of high signal intensity traversing the right gluteus maximus muscle reaching deep to the right sciatic nerve which appears mildly swollen showing slight hyperintense signal (compared to the left side).

The right hamstring muscles (most evident at the semitendinosis) showing increased signal at STIR WI representing denervation injury.

Annotated image

The stab track appears as a line of high signal intensity traversing the right gluteus maximus muscle reaching deep to the right sciatic nerve which appears mildly swollen showing slight hyperintense signal (compared to the left side).

The right hamstring muscles (most evident at the semitendinosis) showing increased signal at STIR WI representing denervation injury.

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Case information

rID: 47413
Case created: 15th Aug 2016
Last edited: 12th Apr 2017
Inclusion in quiz mode: Included

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