Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 13 - The Spinal Cord, Spinal Nerves, and Somatic Reflexes - Study Guide - Testing Your Comprehension - Page 506: 3

Answer

Based on the description of Anthony's injury and the resulting loss of motor functions in his right lower limb, it is likely that he has suffered significant damage to the sciatic nerve, particularly its major branch called the tibial nerve. The sciatic nerve is a large nerve that runs down the back of the thigh and splits into two major branches, the common fibular (peroneal) nerve and the tibial nerve. Here's why this injury corresponds to the symptoms described: **Location of Injury:** The attacker stabbed Anthony on the medial side of the right gluteal fold. This location is in close proximity to where the sciatic nerve is located as it runs down the back of the thigh. **Loss of Motor Functions:** Anthony is unable to extend his hip (hip extension), flex his knee (knee flexion), or move his foot (ankle plantar flexion). These motor functions are controlled by the tibial nerve, which is a branch of the sciatic nerve. The tibial nerve primarily innervates the posterior compartment of the thigh and the muscles of the leg, including those responsible for these movements. **Persistent Loss of Functions:** The fact that Anthony never fully recovers these lost functions suggests that the nerve injury may have caused significant damage, possibly including nerve transection or severe compression. Nerve injuries can vary in severity, and recovery depends on factors like the extent of nerve damage and the success of medical intervention. In summary, Anthony's symptoms, including the loss of specific motor functions in his right lower limb following the stabbing injury, are consistent with significant damage to the sciatic nerve, particularly its tibial nerve branch. Such injuries can result in permanent deficits if the nerve is severely damaged and does not fully recover or if surgical intervention is not successful in restoring function.

Work Step by Step

Based on the description of Anthony's injury and the resulting loss of motor functions in his right lower limb, it is likely that he has suffered significant damage to the sciatic nerve, particularly its major branch called the tibial nerve. The sciatic nerve is a large nerve that runs down the back of the thigh and splits into two major branches, the common fibular (peroneal) nerve and the tibial nerve. Here's why this injury corresponds to the symptoms described: **Location of Injury:** The attacker stabbed Anthony on the medial side of the right gluteal fold. This location is in close proximity to where the sciatic nerve is located as it runs down the back of the thigh. **Loss of Motor Functions:** Anthony is unable to extend his hip (hip extension), flex his knee (knee flexion), or move his foot (ankle plantar flexion). These motor functions are controlled by the tibial nerve, which is a branch of the sciatic nerve. The tibial nerve primarily innervates the posterior compartment of the thigh and the muscles of the leg, including those responsible for these movements. **Persistent Loss of Functions:** The fact that Anthony never fully recovers these lost functions suggests that the nerve injury may have caused significant damage, possibly including nerve transection or severe compression. Nerve injuries can vary in severity, and recovery depends on factors like the extent of nerve damage and the success of medical intervention. In summary, Anthony's symptoms, including the loss of specific motor functions in his right lower limb following the stabbing injury, are consistent with significant damage to the sciatic nerve, particularly its tibial nerve branch. Such injuries can result in permanent deficits if the nerve is severely damaged and does not fully recover or if surgical intervention is not successful in restoring function.
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