Injection Palsy of Peripheral Nerves

Abstract

Accidental injection of a drug either into the nerve tissue or around the nerve during an
intramuscular injection can lead to peripheral nerve dysfunction. Recommended
treatment ranges from conservative management to immediate operative exposure
and irrigation, early or delayed neurolysis, and resection followed by cable grafting
after 8 weeks. Intramuscular injection should be strongly discouraged when a drug can
be given by other routes. Only well-qualified, competent, and certified staff or
paramedical workers should be allowed to administer intramuscular injections.