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March 28, 1925


Author Affiliations

Attending Neurologist, Hospital for Joint Diseases; Associate Attending Neurologist, Jewish Memorial Hospital; Attending Orthopedic Surgeon, Hospital for Joint Diseases; Consulting Orthopedic Surgeon, Jewish Memorial Hospital NEW YORK
From the Divisions of Neurology and Orthopedic Surgery, Hospital for Joint Diseases.

JAMA. 1925;84(13):939-944. doi:10.1001/jama.1925.02660390007003

To the neurologist and orthopedist there is apparently no more pressing problem than neuritic affections of the sciatic nerve. The frequency with which this bulky nerve trunk is involved, the chronicity of its ailments and the difficulties encountered in effecting a favorable therapeutic result make it indeed a formidable task for those who assume the responsibility of treating sufferers from the painful and disabling effects of sciatic involvement.

Before proceeding with the various causes that may be responsible for disturbances in the domain of the sciatic nerve, it may not be untimely to review briefly the anatomy and physiology of this important nerve trunk, and, if possible, attempt an explanation of the mechanics of the disease—considered principally from an orthopedic standpoint—since the cases which give us the most concern and which form the bulk of our material are secondary to frank orthopedic affections. We have in a previous communication 1