Bigos S J, Coleman S S
J Pediatr Orthop. 1984 Sep;4(5):560-3.
We report six cases of foot deformities in children due to sciatic nerve dysfunction that appear to have been caused by gluteal intramuscular injection. Of four patients who developed cavovarus foot deformities, two also exhibited a component of ankle equinus. A fifth patient had a calcaneocavus foot deformity. In the sixth patient foot palsy resolved completely 1 year after injury, and no deformities developed. Identification of the muscle imbalance, as well as appropriate correction of the deformity before the implementation of muscle balancing procedures, led to the attainment of a satisfactory plantigrade gait in the first five patients with deformities. Bases on our experience with these six cases and reports in the literature, we recommend that the superolateral gluteal area between the crest of the ilium and the greater trochanter be properly defined as the preferred site for intramuscular injection.
我们报告了6例儿童足部畸形病例，这些畸形似乎是由坐骨神经功能障碍引起的，而坐骨神经功能障碍又是由臀肌内注射导致的。在4例发生高弓足畸形的患者中，有2例还表现出踝关节马蹄足畸形。第5例患者有跟骨高弓足畸形。第6例患者足部麻痹在受伤1年后完全恢复，未出现畸形。识别肌肉失衡，并在实施肌肉平衡手术前对畸形进行适当矫正，使得前5例畸形患者获得了令人满意的足底行走步态。基于我们对这6例病例的经验以及文献报道，我们建议将髂嵴和大转子之间的臀上外侧区域明确界定为肌内注射的首选部位。
