Abstract

Two cases of sciatic nerve injury in the newborn related to antibiotic injections are reported. One patient recovered after 1 year with conservative therapy; the other expired before an adequate period of observation had elapsed. The common factor in the instances of peripheral nerve injury which follow therapeutic injections in infants and children seems to be direct nerve injury by the needle itself or by the material introduced. Diagnosis is often difficult in infants. Conservative management for at least 1 year is advisable before resorting to surgical neurolysis. It is important to call attention to the fact that the increasing vogue for repeated intramuscular injections is accompanied by a definite risk of damage to nerves, and that the risk is especially great in young and malnourished infants. The paucity of gluteal musculature and frequency of struggling during the procedure increase the likelihood of nerve injury.

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