Dear Editor-in-Chief We read with interest the article by Toopchizadeh et al. (1) reporting outcomes in pediatric patients with Sciatic Nerve Injection injury (SNII) following gluteal injection. Despite the commendable efforts of the authors in long-term monitoring of outcomes in these select cohort of patients with SNII using appropriate electro-diagnostic studies, supplemented use of advanced imaging techniques such as Magnetic Resonance (MR) Neurography to note for structural changes, and diffusion tensor tractography (DTT) for functional altercation, if at all, would have been worth exploring, especially in a setting where the utility of the former in pediatric patients may be limited by poor tolerance (2).