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Piriformis syndrome

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https://www.readbyqxmd.com/read/27857636/posterior-lateral-and-anterior-hip-pain-due-to-musculoskeletal-origin-a-narrative-literature-review-of-history-physical-examination-and-diagnostic-imaging
#1
REVIEW
Patrick J Battaglia, Kevin D'Angelo, Norman W Kettner
OBJECTIVE: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. METHODS: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27779154/salmonella-pyomyositis-with-concurrent-sacroiliac-osteomyelitis-presenting-as-piriformis-syndrome-a-rare-case
#2
P S Phadke, A R Gandhi, S A More, R P Joshirao
A-21-year old male admitted with fever and piriformis syndrome, typically associated with gluteal region pain radiating down the thigh, was evaluated and found to have pyomyositis involving piriformis and osteomyelitis with sacroiliac joint affection on radiological imaging. Salmonella serotype typhi was isolated from blood culture. He was treated with intravenous Ceftriaxone for 6 weeks with signs of recovery documented clinically as well as on imaging studies. Salmonella pyomyositis with osteomyelitis in an immunocompetent patient with no previous hematological or endocrine disorder makes this case an unusual presentation...
October 24, 2016: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27727757/salmonella-pyomyositis-with-concurrent-osteomyelitis-presenting-as-piriformis-syndrome
#3
A Gandhi, P Phadke
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27644428/piriformis-syndrome-a-case-series-of-31-bangladeshi-people-with-literature-review
#4
Md Abu Bakar Siddiq, Md Shawkat Hossain, Mohammad Moin Uddin, Israt Jahan, Moshiur Rahman Khasru, Neaz Mahmud Haider, Johannes J Rasker
AIMS: To describe a series of piriformis syndrome patient among Bangladesh people with literature review. METHODS: Consecutive 31 piriformis syndrome patients were enrolled. Besides history and clinical examination, piriformis muscle thickness was also measured with diagnostic ultrasound (3.5 MHZ). MRI of lumbar spine, X-rays of lumbo-sacral spine, and pelvis were performed in all patients. Statistical Package for the Social Sciences (SPSS), Windows 8.0, was used for statistical calculation, and univariate analysis of primary data was done...
September 19, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27225613/sciatic-neuropathy-developed-after-injection-during-curettage
#5
Ayşe Altıntaş, Ayşegül Gündüz, Fatih Kantarcı, Gökçen Gözübatık Çelik, Naci Koçer, Meral E Kızıltan
Intramuscular injections are likely the most common cause of sciatic nerve injury in developing countries. Less common causes include piriformis syndrome, primary tumors of the sciatic nerve, metastatic tumors invading or compressing the nerve, endometriosis, vascular malformations, and prolonged immobilization or positioning. While the most reliable diagnostic and prognostic methods include nerve conduction studies and electromyography, magnetic resonance imaging has been suggested as an alternative method of determining type of lesion, establishing location, and investigating level of nerve involvement...
January 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/27206482/clinical-results-of-endoscopic-sciatic-nerve-decompression-for-deep-gluteal-syndrome-mean-2-year-follow-up
#6
Myung-Sik Park, Sun-Jung Yoon, Sung-Yeop Jung, Seung-Ho Kim
BACKGROUND: The purpose of this study is to assess the effectiveness of endoscopic sciatic nerve decompression and evaluated the differences of clinical results between atraumatic and traumatic groups. METHODS: Sixty consecutive patients. We retrospectively reviewed sixty consecutive patients without major trauma (45 hips) or with major trauma (15 hips) groups to compare the outcomes of endoscopic treatment.). The mean follow-up period was 24 ± 2.6 months (range, 24-38...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27117725/effectiveness-of-acupuncture-therapies-to-manage-musculoskeletal-disorders-of-the-extremities-a-systematic-review
#7
Jocelyn Cox, Sharanya Varatharajan, Pierre Côté, Optima Collaboration
Study Design Systematic review. Background Little is known about the effectiveness of acupuncture therapies for musculoskeletal disorders. Objective To assess the effectiveness and safety of acupuncture therapies for musculoskeletal disorders of the extremities. Methods We searched MEDLINE, Embase, CINAHL, PsycINFO, and Cochrane Central Register of Controlled Trials from 1990 to 2015 for randomized controlled trials, cohort studies, and case-control studies. Eligible studies were appraised with Scottish Intercollegiate Guidelines Network criteria...
June 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27086759/ultrasound-guided-piriformis-muscle-injection-a-new-approach
#8
E Bevilacqua Alén, A Diz Villar, F Curt Nuño, G Illodo Miramontes, F J Refojos Arencibia, J M López González
Piriformis syndrome is an uncommon cause of buttock and leg pain. Some treatment options include the injection of piriformis muscle with local anesthetic and steroids. Various techniques for piriformis muscle injection have been described. Ultrasound allows direct visualization and real time injection of the piriformis muscle. We describe 5 consecutive patients, diagnosed of piriformis syndrome with no improvement after pharmacological treatment. Piriformis muscle injection with local anesthetics and steroids was performed using an ultrasound technique based on a standard technique...
April 14, 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27056870/-prospective-study-of-the-causes-of-limb-numbness-in-patients-with-diabetes
#9
Kyongsong Kim, Toyohiko Isu, Naoya Emoto, Rinko Kokubo, Daijiro Morimoto, Naotaka Iwamoto, Shiro Kobayashi, Akio Morita
PURPOSE: Many patients with diabetes mellitus (DM) experience numbness in the extremities. This DM neuropathy may be complicated by peripheral entrapment neuropathy. We prospectively investigated the cause(s) of limb numbness in DM patients. MATERIALS AND METHODS: We enrolled 23 patients with uni- or bilateral limb numbness who were treated in our DM clinic. They were 10 men and 13 women; their average age was 63 years. The average duration of their neurological symptoms was 28...
April 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/26969206/piriformis-ganglion-an-uncommon-cause-of-sciatica
#10
J H Park, H J Jeong, H K Shin, S J Park, J H Lee, E Kim
UNLABELLED: Sciatica can occur due to a spinal lesion, intrapelvic tumor, diabetic neuropathy, and rarely piriformis syndrome. The causes of piriformis syndrome vary by a space-occupying lesion. A ganglionic cyst can occur in various lesions in the body but seldom around the hip joint. In addition, sciatica due to a ganglionic cyst around the hip joint has been reported in one patient in Korea who underwent surgical treatment. We experienced two cases of sciatica from a piriformis ganglionic cyst and we report the clinical characterics and progress after non-operative treatment by ultrasonography-guided aspiration...
April 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26811947/ultrasound-guided-pulsed-radiofrequency-treatment-of-the-pudendal-nerve-in-chronic-pelvic-pain
#11
D Ozkan, T Akkaya, S Yildiz, A Comert
Chronic pelvic pain is a condition that can be caused by pudendal neuralgia, interstitial cystitis, piriformis syndrome and neuropathy of the ilioinguinal, iliohypogastric and genitofemoral nerves. Based on three case reports this article discusses the clinical effectiveness of pulsed high-frequency radiofrequency (PRF) treatment applied to the pudendal nerve under ultrasound guidance in medicinally treated patients with chronic pelvic pain.
February 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26798622/leg-weakness-caused-by-bilateral-piriformis-syndrome-a-case-report
#12
Hee Bong Moon, Ki Yeun Nam, Bum Sun Kwon, Jin Woo Park, Gi Hyeong Ryu, Ho Jun Lee, Chang Jae Kim
Piriformis syndrome (PS) is an uncommon neuromuscular disorder caused by the piriformis muscle (PM) compressing the sciatic nerve (SN). The main symptom of PS is sciatica, which worsens with certain triggering conditions. Because the pathophysiology is poorly understood, there are no definite diagnostic and therapeutic choices for PS. This case report presents a young woman who mainly complained of bilateral leg weakness. Electromyography revealed bilateral sciatic neuropathy and magnetic resonance imaging confirmed structural lesions causing entrapment of the bilateral SNs...
December 2015: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/26711654/the-sciatic-nerve-in-human-cadavers-high-division-or-low-formation
#13
A A Khan, M A Asari, M A Pasha
Variations of the sciatic nerve have been extensively studied in the past including its relationship with the piriformis muscle and associated clinical conditions like piriformis syndrome and sciatica. In the present study we noticed some interesting variations of the sciatic nerve, which were slightly different from the cases described earlier. In the previous studies most of the authors described the higher division of sciatic nerve and none of them discussed its formation. In this study we tried to look its formation from the sacral plexus and its divisions in the thigh...
2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/26524558/disorders-of-the-peritrochanteric-and-deep-gluteal-space-new-frontiers-for-arthroscopy
#14
REVIEW
John W Thomas Byrd
Arthroscopic techniques for the hip joint have evolved into endoscopic methods for extra-articular disorders. These endoscopic strategies provide a less invasive alternative to open procedures for traditionally recognized forms of pathology. Endoscopy has defined new disorders amenable to surgical correction and has redefined some of these existing disorders. The peritrochanteric and deep gluteal regions represent 2 of the most currently active areas of exploration. Peritrochanteric problems include trochanteric bursitis, full-thickness and partial-thickness tears of the abductors including the gluteus medius and minimus, and external coxa saltans (snapping iliotibial band)...
December 2015: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/26522381/bilateral-piriformis-syndrome-in-two-elite-soccer-players-report-of-two-cases
#15
B Zeren, U Canbek, H H Oztekin, A İmerci, U Akgün
Piriformis syndrome, a relatively rare condition, is described as entrapment of a sciatic nerve at the level of the piriformis muscle. There have been a few reports of bilateral piriformis syndrome in literature. In this study, we present bilateral piriformis syndrome in two professional soccer players from different teams who are symptom free at last follow-up after surgery. In both patients, resting EMG records were read normal, however EMG recording during the activity revealed prolonged H-reflexes. Both patients had no relief from conservative treatment and rehabilitation, therefore surgical treatment was performed...
December 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26406214/pressure-pain-thresholds-in-patients-with-chronic-nonspecific-low-back-pain
#16
Marta Imamura, Fábio Marcon Alfieri, Thais Raquel Martins Filippo, Linamara Rizzo Battistella
BACKGROUND: The lumbar back and hip muscles are important for a normal functioning of the human spine and they are considered to be of etiological significance in chronic nonspecific low back pain (nCLBP). Inactivity and a lower level of physical activity in patients with nCLBP may change muscle characteristics and may be associated with pain and disability. Pressure algometry has been found to be non-invasive, efficient and reliable in the exploration of physio-pathological mechanisms involved in muscle pain syndromes...
September 21, 2015: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/26402805/usefulness-of-magnetic-resonance-neurography-for-diagnosis-of-piriformis-muscle-syndrome-and-verification-of-the-effect-after-botulinum-toxin-type-a-injection-two-cases
#17
Hea Eun Yang, Jung Hyun Park, Sungjun Kim
Piriformis muscle syndrome (PMS) is a controversial neuromuscular disorder that is presumed to involve compression neuropathy of the sciatic nerve at the level of the piriformis muscle. Botulinum toxin A (BTX-A) injection into the piriformis muscle is widely used as a treatment aimed at relieving sciatic nerve compression. In 2 patients with PMS, magnetic resonance neurography (MRN) was taken before and after BTX-A injection. The first MRN was performed as a diagnostic tool, and the second to identify the effect of the treatment...
September 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26377629/piriformis-syndrome-with-variant-sciatic-nerve-anatomy-a-case-report
#18
Emily Kraus, Adam S Tenforde, Christopher F Beaulieu, John Ratliff, Michael Fredericson
A 68-year-old male long distance runner presented with low back and left buttock pain, which eventually progressed to severe and debilitating pain, intermittently radiating to the posterior thigh and foot. A comprehensive workup ruled out possible spine or hip causes of his symptoms. A pelvic magnetic resonance imaging neurogram with complex oblique planes through the piriformis demonstrated variant anatomy of the left sciatic nerve consistent with the clinical diagnosis of piriformis syndrome. The patient ultimately underwent neurolysis with release of the sciatic nerve and partial resection of the piriformis muscle...
February 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26289660/piriformis-syndrome-in-a-young-child-an-unusual-clinical-entity
#19
LETTER
Sagar Badrinarayan Bhattad, Anju Gupta, Deepti Suri, Dhrubajyoti Sharma, Ananindita Sinha, Surjit Singh
No abstract text is available yet for this article.
April 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/26286539/piriformis-muscle-syndrome-a-recurrent-case-after-surgical-release
#20
Ali Haghnegahdar, Mahsa Sedighi, Hassan Motalebi
We report a recurrent Piriformisc muscle syndrome after surgical release. After the primary neurolysis, a second operation was performed to release adhesions. This case shows a different type of sciatic nerve entrapment by an abnormal thin muscle slip. Results of the revision surgery guide us to the point that revision surgery for Piriformis muscle syndrome should be meticulously selected, and after considering medical and interventional therapies.
2015: Journal of Surgical Case Reports
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