Ultrasound-Guided Subgluteal Sciatic Nerve Perineural Injection: Report on Safety and Efficacy at a Single Institution

J Ultrasound Med. 2017 Nov;36(11):2319-2324. doi: 10.1002/jum.14271. Epub 2017 Jun 8.

Abstract

Objectives: To determine the safety and efficacy of ultrasound (US)-guided subgluteal sciatic nerve injections.

Methods: A retrospective chart review of US-guided subgluteal sciatic nerve injections at our institution was performed.

Results: Of 221 US-guided subgluteal sciatic nerve injections, 100% achieved technical success, with no postprocedure complications. Sixty-eight percent of patients with follow-up reported symptom relief. Most patients with no relief had suboptimal preprocedure screening.

Conclusions: With appropriate screening, our technique of US-guided subgluteal sciatic nerve injection is safe and effective.

Keywords: musculoskeletal ultrasound; perineural injection; sciatic nerve; subgluteal; transgluteal; ultrasound guidance.

MeSH terms

  • Adult
  • Anesthetics, Local / administration & dosage
  • Buttocks / diagnostic imaging
  • Female
  • Humans
  • Male
  • Nerve Block / methods*
  • Retrospective Studies
  • Sciatic Nerve / diagnostic imaging
  • Sciatic Nerve / drug effects*
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*

Substances

  • Anesthetics, Local