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Peer-reviewed veterinary case report

Ultrasound signs of sciatic nerve problems in 29 dogs

By Toijala, Tiiu M et al.·Published in Frontiers in veterinary science·2021·Sporting Dogs Clinic Evidensia·View original on PubMed

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Original publication title: Ultrasonography Findings in the Proximal Sciatic Nerve and Deep Gluteal Muscles in 29 Dogs With Suspected Sciatic Neuritis.

Species:
dog

Plain-English summary

A group of 29 dogs suspected of having sciatic neuritis (nerve inflammation) underwent ultrasound to examine their sciatic nerves and deep gluteal muscles. Most of the dogs showed abnormal findings, with 76% having irregular nerve margins and significant enlargement of the affected nerve compared to the other side. Many dogs also had changes in their muscle structure, with the most common issue being lumbosacral stenosis (narrowing of the spine) linked to repetitive activities like agility jumping. The ultrasound proved to be a safe and effective way to diagnose these issues and help plan treatment.

People also search for: dog limping sciatic nerve · ultrasound for dog nerve problems · lumbosacral stenosis treatment in dogs

Abstract

The present study aimed to describe the ultrasonography technique and analyze the ultrasonographic findings of the proximal sciatic nerve and deep gluteal muscles in dogs with suspected sciatic neuritis. The records of 29 dogs that underwent musculoskeletal ultrasound of the sciatic nerve and deep gluteal muscles were retrospectively evaluated. Both right and left sides were evaluated. Abnormal findings were unilateral in 28/29 (97%) of the dogs. The muscles examined included the piriformis muscle, gemelli muscles, internal obturator muscle, and medial gluteal muscle. Data included signalment, purpose of the dog, orthopedic examination findings, lameness examination findings, other diagnostic imaging findings, and ultrasonography findings. Irregular margins of the sciatic nerve were recorded in 76% of the dogs. The diameter of the sciatic nerve on the affected limb was significantly larger than the nerve on the contralateral, unaffected side (< 0.00001). The mean &#xb1; standard deviation (SD) of the sciatic nerve inner diameter between the unaffected and affected limbs was 15 &#xb1; 14.66%. The mean &#xb1; SD in sciatic nerve outer diameter was 12 &#xb1; 7.71%. Abnormal ultrasonographic findings in at least one of the examined muscles were found in 28/29 (97%) of the dogs and included changes in echogenicity in 28/29 (97%) of the dogs, loss of detail in muscle fiber pattern in 5/29 (17%) of the dogs, and impingement between the sciatic nerve and piriformis muscle in 6/29 (21%) of the dogs. The most common underlying diagnosis was lumbosacral stenosis in 9/29 (31%) of the dogs. The most common sport was agility for 21/29 (71%) of the dogs. Repetitive jumping may predispose to both lumbosacral disease, through dynamic compression, and changes within the piriformis muscle, due to overuse of the muscle leading to irritation to sciatic nerve. Ultrasonography is considered a safe and non-invasive diagnostic method to evaluate the sciatic nerve and deep gluteal muscles of dogs, and provides additional guidance for diagnostics and rehabilitation planning. This is the first study documenting ultrasonography findings in a case series of the sciatic nerve and deep gluteal muscles and their pathology in dogs.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34513972/