CASE DISCUSSION LOWER LIMB II

1
CASE DISCUSSION LOWER LIMB II

• Case 5.20
• Herniated Disc Caused Sacral Nerve Root
  Compression
• Presented By Table 31

2
TABLE 31s MEMBERS

• 1. ?.?. ??????? ?????????
• 2. ?.?. ???????? ????????
• 3. ?.?. ?????? ???????????????
• 4. ??? ??????? ???????????
• 5. ?.?. ?????? ????????
• 6. ?.?. ?????? ??????????????

3
CASE 5.20

• ??????? 62 ?? ???????????????????????????????????
  ??????????????????????????????????????????????
• Physical examination
• ???????????????????????? Greater Sciatic Notch
  ???????????????????????????? Line ???????????
  ??????????????? Tip Of The Greater Trochanter
  ????????? Femur ??? Ischial Tuberosity ?????
  Midline ???????? ?????????????????????????????????
  ???????????????????????????

4

• ???????????????????? Straight Leg-Raising Test
  ???????????????????? ?????????????????????????????
  ???? ????????????????????????????????????????
  ??????????????????? ??????????????????????????????
  ???????????? 75 ????????????????????????????
  ?????????????????????????????????????
  Dorsiflexion ???????
• Radiology report
• ????????????????????? Intervertebral Disc
  ??????? L5 ??? S1
• Diagnosis
• ?? Intervertebral Disc ??????? L5 ??? S1
  ????????? ?????????????????????????? 1st Sacral
  Nerve Root

5
GREATER SCIATIC NOTCH
6
GREATER TROCHANTER
7
ISCHIAL TUBEROSITY
8
STRAIGHT LEG-RAISING TEST
9
DORSIFLEXION
10
RADIOLOGY REPORT HERNIATION OF THE L5/S1
INTERVERTIBAL DISC
11
QUESITON

• 1. ????????????????????????????????????????
• ?????????????????????? ???????????????????????????
  ????????????????? Compression of the Roots of the
  Sciatic Nerve ???????????????????????????? Sacral
  Plexus

12
QUESITON

• 2. ?????????????????????????????????????? Spinal
  Cord
• Sciatic Nerve ??????? ??????? L4 ??? S3 ???
  Spinal Cord ????????? Pelvis ???? Inferior Part
  ??? Greater Sciatic Notch ????????????????
  Inferior Border of the Piriformis ????? Distal
  Third of the Leg

13
SCIATIC NERVE
14
QUESITON

• 3. ???? Straight Leg-Raising Test
  ????????????????????????
• Sciatic Nerve ????????????????????????

15
QUESITON

• 4. ??????????????????????????????????
  Dorsiflexion ???????
• ??????? Dorsiflexion ???????????????????? Sciatic
  Nerve ??? Roots ??? Sciatic Nerve

16
QUESITON

• 5. ???????????????????????????????????????????????
  ????????????????????
• ????????????? Intervertebral Disc ???????
  Posterolateral ???????????????????? Sciatica
  ??????????????????? 1st Sacral Nerve Roots
  ????????????? L5/S1 Disc ????????????????? Dorsal
  ??? Ventral Roots ????????? Sciatica
  ???????????????????????????????????????
• Sciatic Pain ????????????????????????????
  ???????? ?? Sciatic Nerve ?????? Pelvis, Gluteal
  Region, Thigh

17
????????????????????????????

• ?????????????????????????????????????????????????
  ? ????????????????????????????????????????????????
  ?????? ???????????????????????????????????????????
  ?????????????????????????? ???????????????????????
  ????????? ????????????????????????????????????????
  ????????????????????

18

• THE
• END
• ????