How is hind leg paralyzed to return a responsibility?
summary
Some time ago, I suddenly found that I was very tired, and my waist and legs were very weak. Especially after eating, I felt very tired standing. I always wanted to find a place to sit down, as if my hind legs were not supported. What's going on? Let me tell you something about hind leg paralysis?
How is hind leg paralyzed to return a responsibility?
First, if the injury site is at the ischial foramen or above the ischial tubercle, the posterior thigh muscles, the anterior, lateral and posterior calf muscles and the foot muscles are all paralyzed. For example, in the middle and lower part of the thigh injury, because most of the popliteal muscle branches have been sent out, it only shows that all the muscles below the knee are paralyzed. If it is a branch injury, it is muscle paralysis in the area of common peroneal nerve and tibial nerve.
Second, hip sciatic nerve injury is one of the most difficult and the most ineffective peripheral nerve injuries. The injury of each segment is closely related to the local anatomy. We should take a positive attitude towards the treatment and take appropriate treatment according to the injury. The younger the patient, the earlier the operation, the better the effect; In case of sharp instrument injury such as cutting injury, one-stage repair should be carried out, and end-to-end adventitia anastomosis should be performed. After operation, it should be fixed in the hip extension and knee flexion position for 6-8 weeks; In case of sciatic nerve injury caused by dislocation of hip joint or pelvic fracture, early reduction and decompression should be performed to relieve compression. After 1-3 months of observation, whether to explore the nerve should be determined according to the recovery; In case of firearm injury, debridement should be performed at the early stage, and exploration and repair should be performed 3-4 weeks after wound healing. Late functional reconstruction of foot and ankle can improve limb function.
Third: cut the gluteal fascia, separate the gluteus maximus muscle to the greater trochanter, and then cut the femoral fascia to the gluteal fold longitudinally. The tendon fibers attached to iliotibial tract and femur were cut off, and the gluteus maximus muscle and its neurovascular were turned up to expose the sciatic nerve and piriformis muscle (Fig. 3b). If necessary, the piriformis muscle was cut off to expose the deep part of sciatic nerve. Part of the sacrum or ilium can be removed with bone biting forceps to expose the sciatic nerve out of the pelvis.
matters needing attention
Usually, we should strengthen exercise, enhance physical fitness, improve physical resistance, people have activities, disease is far away from you.