Evidence map›Paper›PMID 36412694›Full record

ArticleNeurology international2022

Anatomical Variations of the Sciatic Nerve Exit from the Pelvis and Its Relationship with the Piriformis Muscle: A Cadaveric Study.

Juan Pablo Reynoso, Manuel De Jesus Encarnacion, Renat Nurmukhametov, Dmitry Melchenko, Ibrahim E Efe, Evgeniy Goncharov, Angel Alfonso Taveras, Issael Jesus Ramirez Pena, Nicola Montemurro

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In one paragraph

Article in Neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

9 authors at 6 institutions in 5 countries.

Juan Pablo ReynosoDepartment of Anatomy, Autonomous University of Santo Domingo, Santo Domingo 10014, Dominican Republic.
Manuel De Jesus EncarnacionDepartment of Neurosurgery, Russian People's Friendship University, 121359 Moscow, Russia.ORCID 0000-0003-3541-0635
Renat NurmukhametovDepartment of Spine, Clinical Hospital of the Russian Academy of Sciences, 121359 Moscow, Russia.
Dmitry MelchenkoDepartment of Pathological Anatomy, Central Clinical Hospital of the Russian Academy of Sciences, National Research Medical University, 121359 Moscow, Russia.ORCID 0000-0003-1394-8004
Ibrahim E EfeDepartment of Neurosurgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany.ORCID 0000-0002-4232-3305
Evgeniy GoncharovTraumatology and Orthopedics, Clinical Hospital of the Russian Academy of Sciences, 121359 Moscow, Russia.
Angel Alfonso TaverasMorphological Department, Autonomous University of Santo Domingo, Santo Domingo 10014, Dominican Republic.
Issael Jesus Ramirez PenaDepartment of Oncology, Royal Melbourne Hospital, Melbourne, VI 3005, Australia.ORCID 0000-0002-1266-9460
Nicola MontemurroDepartment of Neurosurgery, Azienda Ospedaliera Universitaria Pisana (AOUP), University of Pisa, 56100 Pisa, Italy.ORCID 0000-0002-3686-8907
Russian Academy of Sciences · RUUniversidad Autónoma de Santo Domingo · DOHumboldt-Universität zu Berlin · DEPeoples' Friendship University of Russia · RUThe Royal Melbourne Hospital · AUUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe sciatic nerve (SN) is the widest nerve of the human body that exits the pelvis through the greater sciatic foramen, usually below the piriformis muscle (PM), and descends between the greater trochanter of the femur and ischial tuberosity of the pelvis to the knee. The aim of this paper is to examine and identify the SN variations in relation to the PM, its prevalence, pattern, and course.

methodsA prospective-descriptive cross-sectional study was carried out to determine the frequency of anatomical variations in the exit of the SN in relation with the PM in 20 anatomical bodies (corpses) of both genders, in equal numbers.

resultsThe dissection of 40 SNs in corpses of both sexes in equal numbers showed that the SN exited inferior to the PM in 37 lower limbs (92.5%); between the fascicles of the PM and inferior to the PM in two lower limbs (5%); and in one thigh, between the fascicles of the PM and superior to the PM (2.5%). Our study reported that the SN divides in its terminal branches more commonly in the proximal part of the popliteal fossa in 55% of cases, in the gluteal region in 35% of cases, and in the middle third of the thigh in 10% of cases.

conclusionsAnatomical variations of the SN in relation to the PM are challenging for the diagnostic and therapeutic procedure in many clinical and surgical cases. Rapid recognition of the SN changes makes surgical approaches more accurate and effective. Our study confirmed that the SN exits the pelvis most commonly below the PM, although some anatomical variations may occur.

Indexed as

anatomical variationsanatomyneuroanatomyneurosurgerypiriformis musclesciatic nerve

Identifiers

PMID36412694
PMCPMC9680267
OpenAlexW4307923457

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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.