Evidence map›Paper›PMID 30688928›Full record

ArticleNorthern clinics of Istanbul2018

Sciatic nerve injury following analgesic drug injection in rats: A histopathological examination.

Habib Bostan, Murat Cabalar, Serdar Altinay, Yildiray Kalkan, Levent Tumkaya, Ayhan Kanat, Sabri Balik, Adem Erkut, Dudu Altuner, Ziya Salihoglu and 1 more

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Article in Northern clinics of Istanbul, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Habib BostanDepartment of The Ministry of Justice, Council of Forensic Medicine, Istanbul, Turkey.
Murat CabalarDepartment of The Ministry of Justice, Council of Forensic Medicine, Istanbul, Turkey.
Serdar AltinayDepartment of Pathology, Selcuk University Faculty of Medicine, Konya, Turkey.
Yildiray KalkanDepartment of Histology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey.
Levent TumkayaDepartment of Histology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey.
Ayhan KanatDepartment of Neurosurgery, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey.
Sabri BalikDepartment of Orthopaedic Surgery, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey.
Adem ErkutDepartment of Orthopaedic Surgery, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey.
Dudu AltunerDepartment of Pharmacology, Rize University Faculty of Medicine, Rize, Turkey.
Ziya SalihogluDepartment of The Ministry of Justice, Council of Forensic Medicine, Istanbul, Turkey.
Abdulkadir KocerDepartment of Neurology, Medeniyet University Faculty of Medicine, Istanbul, Turkey.
Ministry of Justice · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSciatic nerve neuropathy can be observed following intramuscular gluteal injections. The histopathological examination of sciatic nerve damage following intramuscular injection in the gluteal region for acute pain treatment is not feasible in humans due to the inability to dissect and examine the nerve tissue. To overcome this issue, we used a rat model for demonstrating damage to the sciatic nerve tissue after the application of commonly used drug injections.

methodsWe investigated possible damage following the intramuscular injection of diclofenac, lornoxicam, morphine, and pethidine in a rat model based on histopathological characteristics such as myelin degeneration, axon degeneration, epineurium degeneration, fibrosis, epineurium thickening, perineurium thickening, lymphocyte infiltration, vacuolization, and edema.

resultsAll the analgesic drugs used in our study induced histopathological changes in the sciatic nerve. Anti-S100 positivity, showing nerve damage, was found to be the lowest in the group treated with diclofenac. Neurotoxic effects of diclofenac on the sciatic nerve were greater than those of the other drugs used in the study. Lornoxicam induced the least histopathological changes in the nerve.

conclusionDiclofenac induced severe nerve damage not only after direct injection in the sciatic nerve but also after injection in the area around the nerve. Thus, we recommend restricting the use of intramuscular gluteal injections of diclofenac. Intramuscular use of morphine and pethidine should also be overviewed.

Indexed as

Acute pain treatmentdiclofenaclornoxicammorphinepethidinesciatic neuropathy

Identifiers

PMID30688928
PMCPMC6323560
OpenAlexW2769837006

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.