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Deep gluteal pain

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https://www.readbyqxmd.com/read/27676805/internal-obturator-muscle-proposition-of-a-transforaminal-way-under-ultrasound-guidance-for-botulinum-toxin-injections
#1
Fabrice Michel, Arnaud Dupeyron, Jean Jacques Labat, Etienne Aleton, Bernard Parratte
OBJECTIVE: Among pelvitrochanteric muscles, the internal obturator muscle is implicated in some pain projected at the buttock or perineum. Even though the pathophysiology is not completely understood, its responsibility is often held in clinical practice and in the literature due to effectiveness of botulinum toxin injections, constituting a therapeutic test. The objective is to enhance the couple ultrasound/EMG in difficult injections. MATERIAL/PATIENTS AND METHODS: Eighteen patients were treated in the physical medicine department (Besançon) from September 2015 to February 2016 for gluteal or perineal pain suspected to be related to abnormal spasm of the internal obturator muscle...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27618322/ct-guided-perineural-injections-for-chronic-pelvic-pain
#2
Vibhor Wadhwa, Kelly M Scott, Shai Rozen, Adam J Starr, Avneesh Chhabra
Chronic pelvic pain is a disabling condition that affects a large number of men and women. It may occur after a known inciting event, or it could be idiopathic. A common cause of pelvic pain syndrome is neuropathy of the pelvic nerves, including the femoral and genitofemoral nerves, ilioinguinal and iliohypogastric nerves, pudendal nerve, obturator nerve, lateral and posterior femoral cutaneous nerves, inferior cluneal nerves, inferior rectal nerve, sciatic nerve, superior gluteal nerve, and the spinal nerve roots...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27372297/novel-use-of-porcine-urinary-bladder-matrix-for-pediatric-pilonidal-wound-care-preliminary-experience
#3
Robert M Dorman, Kathryn D Bass
BACKGROUND: Extracellular matrix is used in various applications. We present our preliminary experience using a new device that consists of a porcine extracellular matrix with an epithelial basement membrane (MatriStem(®), ACell, Inc. Columbia, MD, USA) for adolescent pilonidal disease. METHODS: A retrospective review of four patients with pilonidal disease was undertaken. Three occurred in the gluteal cleft, and the fourth in the umbilicus. In the first patient, the wound deficit was filled with lyophilized MicroMatrix powder and a sheet of Multilayer Wound Matrix was placed to cover the wound...
October 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27343397/ischiofemoral-impingement-and-hamstring-syndrome-as-causes-of-posterior-hip-pain-where-do-we-go-next
#4
REVIEW
Hal David Martin, Anthony Khoury, Ricardo Schröder, Ian James Palmer
Recent advances in understanding hip joint anatomy and biomechanics have contributed to improvement of diagnosis and treatment decisions for distal causes of deep gluteal syndrome (DGS). Ischiofemoral impingement and hamstrings syndrome are sources of posterior hip pain that can simulate symptoms of DGS. The combination of a comprehensive history and physical examination with imaging and ancillary testing are critical for diagnosis. Six key physical examination tests are described to differentiate distal versus proximal sources of extrapelvic posterior hip pain...
July 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27206482/clinical-results-of-endoscopic-sciatic-nerve-decompression-for-deep-gluteal-syndrome-mean-2-year-follow-up
#5
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/27078713/sciatic-neuroendometriosis-magnetic-resonance-imaging-defined-perineural-spread-of-endometriosis
#6
Canan Cimsit, Tevfik Yoldemir, Ihsan Nuri Akpinar
Catamenial sciatic radiculopathy resulting from endometriosis is a rare presentation of a common disease in which the pathogenesis of pain is still under debate. A 32-year-old woman presented complaining of infertility, catamenial sciatica, and pelvic and gluteal pain. Magnetic resonance imaging showed endometriotic infiltration of the left proximal lumbosacral plexus, sacral nerve track, sciatic nerve at the sciatic notch and pudendal nerve along the iliococcygeus muscle, together with left endometrioma and deep infiltrating endometriosis lesions...
April 14, 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27011826/deep-gluteal-syndrome
#7
Hal David Martin, Manoj Reddy, Juan Gómez-Hoyos
Deep gluteal syndrome describes the presence of pain in the buttock caused from non-discogenic and extrapelvic entrapment of the sciatic nerve. Several structures can be involved in sciatic nerve entrapment within the gluteal space. A comprehensive history and physical examination can orientate the specific site where the sciatic nerve is entrapped, as well as several radiological signs that support the suspected diagnosis. Failure to identify the cause of pain in a timely manner can increase pain perception, and affect mental control, patient hope and consequently quality of life...
July 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/26548967/dynamic-ultrasonography-of-the-deep-external-rotator-musculature-of-the-hip-a-descriptive-study
#8
Patrick J Battaglia, Ross Mattox, Daniel W Haun, Aaron B Welk, Norman W Kettner
BACKGROUND: No detailed reports exist describing the methodology of ultrasound image acquisition of the deep external rotator muscles of the hip. Because gluteal pain and sciatica are common, ultrasound may be a useful dynamic imaging adjunct in the evaluation of these patients. OBJECTIVE: To describe dynamic ultrasonography of the deep external rotator muscles of the hip for diagnostic purposes. DESIGN: Descriptive. SETTING: University radiology department...
July 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26446817/perisciatic-ultrasound-guided-infiltration-for-treatment-of-deep-gluteal-syndrome-description-of-technique-and-preliminary-results
#9
Julio Rosales, Nicolás García, Claudio Rafols, Marcelo Pérez, Marco A Verdugo
The objective of this study was to describe a perisciatic ultrasound-guided infiltration technique for treatment of deep gluteal syndrome and to report its preliminary clinical results. A mixture of saline (20 mL), a local anesthetic (4 mL), and a corticosteroid solution (1 mL) was infiltrated in the perisciatic region between the gluteus maximus and pelvitrochanteric muscles. Relative pain relief was achieved in 73.7% of the patients, with average preprocedural and postprocedural visual analog scale scores of 8...
November 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26406350/antitumour-necrosis-factor-%C3%AE-therapy-for-hidradenitis-suppurativa-results-from-a-national-cohort-study-between-2000-and-2013
#10
LETTER
E Sbidian, C Hotz, J Seneschal, A Maruani, F Amelot, F Aubin, C Paul, M Beylot Barry, P Humbert, A Dupuy, F Caux, N Dupin, P Modiano, P Lepesant, S Ingen-Housz-Oro, E Mahé, H Bachelez, O Chosidow, P Wolkenstein
No abstract text is available yet for this article.
March 2016: British Journal of Dermatology
https://www.readbyqxmd.com/read/26261785/high-volume-image-guided-injections-and-structured-rehabilitation-improve-greater-trochanter-pain-syndrome-in-the-short-and-medium-term-a-combined-retrospective-and-prospective-case-series
#11
Sarah Morton, Otto Chan, Jessica Price, Melanie Pritchard, Tom Crisp, John D Perry, Dylan Morrissey
BACKGROUND: the aim of this study was to measure the effects of high volume image-guided injections and structured rehabilitation (HVIGI&SR) for greater trochanter pain syndrome (GTPS). METHODS: 31 consecutive subjects were recruited (23 retrospectively; 8 prospectively) over 5 months. GTPS was diagnosed based on history and examination findings, alongside radiological examination. The HVI-GI used a 22-gauge spinal needle to administer 10ml of 0.5% Marcaine and 50 mg hydrocortisone just deep to the periosteum underlying the gluteal tendon insertion under ultrasound guidance, followed by structured rehabilitation...
April 2015: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/25739706/deep-gluteal-syndrome-anatomy-imaging-and-management-of-sciatic-nerve-entrapments-in-the-subgluteal-space
#12
REVIEW
Moisés Fernández Hernando, Luis Cerezal, Luis Pérez-Carro, Faustino Abascal, Ana Canga
Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. Multiple pathologies have been incorporated in this all-included "piriformis syndrome," a term that has nothing to do with the presence of fibrous bands, obturator internus/gemellus syndrome, quadratus femoris/ischiofemoral pathology, hamstring conditions, gluteal disorders and orthopedic causes...
July 2015: Skeletal Radiology
https://www.readbyqxmd.com/read/25685670/ischiofemoral-space-decompression-through-posterolateral-approach-cutting-block-technique
#13
Elizabeth A Howse, Sandeep Mannava, Cüneyt Tamam, Hal D Martin, Miriam A Bredella, Allston J Stubbs
Ischiofemoral space impingement has become an increasingly recognized extracapsular cause of atypical hip, deep gluteal, and groin pain that can be treated endoscopically. We present a minimally invasive posterolateral technique that preserves the attachment of the iliopsoas tendon and quadratus femoris insertion while decompressing the ischiofemoral space by resecting the lesser trochanter. Furthermore, we present tips to perform this technique in a manner that minimizes the potential for damage to the sciatic nerve...
December 2014: Arthroscopy Techniques
https://www.readbyqxmd.com/read/25644609/phenotypic-heterogeneity-implies-heterogeneous-pathogenic-pathways-in-hidradenitis-suppurativa
#14
John W Frew, Dunja A Vekic, Jane Woods, Geoffrey D Cains
No abstract text is available yet for this article.
May 2015: Experimental Dermatology
https://www.readbyqxmd.com/read/25328750/piriformis-syndrome-in-fibromyalgia-clinical-diagnosis-and-successful-treatment
#15
Md Abu Bakar Siddiq, Moshiur Rahman Khasru, Johannes J Rasker
Piriformis syndrome is an underdiagnosed extraspinal association of sciatica. Patients usually complain of deep seated gluteal pain. In severe cases the clinical features of piriformis syndrome are primarily due to spasm of the piriformis muscle and irritation of the underlying sciatic nerve but this mysterious clinical scenario is also described in lumbar spinal canal stenosis, leg length discrepancy, piriformis myofascial pain syndrome, following vaginal delivery, and anomalous piriformis muscle or sciatic nerve...
2014: Case Reports in Rheumatology
https://www.readbyqxmd.com/read/25289225/patient-reported-assessment-of-functional-gait-outcomes-following-superior-gluteal-artery-perforator-reconstruction
#16
Kevin Hur, Rika Ohkuma, Justin L Bellamy, Michiyo Yamazaki, Michele A Manahan, Ariel N Rad, Damon S Cooney, Gedge D Rosson
BACKGROUND: Harvesting the superior gluteal artery perforator (SGAP) flap involves dissection of vessels through the gluteal muscle, potentially compromising gait and ambulation. We compared patient-reported gait and ambulation problems between SGAP flap and deep inferior epigastric perforator (DIEP) flap reconstructions. METHODS: Forty-three patients who underwent bilateral free flap breast reconstruction (17 SGAP, 26 DIEP) participated in the study. The Lower Extremity Functional Score (LEFS) was administered with a supplementary section evaluating gait, balance, fatigue, and pain...
August 2013: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/25050669/ct-guided-piriformis-muscle-injection-for-the-treatment-of-piriformis-syndrome
#17
Pinar Akdemir Ozisik, Mustafa Toru, C Cem Denk, Ozden O Taskiran, Begum Gundogmus
AIM: Piriformis syndrome is a rare neuromuscular disorder that occurs when the piriformis muscle compresses or irritates the sciatic nerve. The treatment of piriformis syndrome includes injections into the piriformis muscle around the sciatic nerve. These invasive approaches have been used with various techniques to increase the safety of the procedure. Computed tomography (CT)-guided injection of the piriformis muscle and the clinical outcome of the patients are discussed. MATERIAL AND METHODS: The authors presented 10 consecutive patients that underwent CT-guided piriformis injection between March and December 2007...
2014: Turkish Neurosurgery
https://www.readbyqxmd.com/read/25048589/pudendal-nerve-block-by-transgluteal-way-guided-by-computed-tomography-in-a-woman-with-refractory-pudendal-neuralgia-expressed-like-chronic-perineal-and-pelvic-pain
#18
Paolo Ricci, Alex Wash
OBJECTIVE: To demonstrate that the deep infiltration of the pudendal nerve guided by tomography is a good treatment option for patients with refractory neuralgia. METHOD: Two cases of pudendal neuralgia are presented, both expressed mainly with pain in the perineal and gluteal areas. Both cases had changes in the skin and one with urinary symptoms. A deep trans-gluteal infiltration guided by CT scan was performed, administering bupivacaine 0.25% with 80 mg methylprednisolone...
July 2014: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/25048566/laparoscopic-dissection-and-anatomy-of-sacral-nerve-roots-and-pelvic-splanchnic-nerves
#19
Alysson Zanatta, Mateus M Rosin, Ricardo L Machado, Leonardo Cava, Marc Possover
STUDY OBJECTIVE: To demonstrate the technique of laparoscopic dissection for identification of sacral nerve roots and pelvic splanchnic nerves. DESIGN: Case report (Canadian Task Force classification III). SETTING: Private practice hospital in São Paulo, Brazil. PATIENT: A 31-year-old woman with suspected iatrogenic and/or compression of sacral nerve roots. She reported debilitating pelvic, gluteal, and perineal unilateral left-sided pain (score 8 on a pain scale of 0-10), and had primary infertility with 1 previous failed attempt at in vitro fertilization...
November 2014: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/24641643/ropivacaine-plasma-levels-following-local-infiltration-analgesia-for-primary-total-hip-arthroplasty
#20
A M Gill, N B Scott, M Abbas, D G Watson, K Place, D A McDonald
We measured total and free plasma concentrations of ropivacaine following high-volume, high-dose local infiltration analgesia in 19 patients aged 65 years or over undergoing unilateral total hip arthroplasty. The patients received 180 ml ropivacaine 0.2% (360 mg), which was injected into the deep and peri-capsular tissues, the gluteal muscles and fascia lata, and the subcutaneous tissues and skin. Patients were monitored for clinical symptoms and signs of systemic local anaesthetic toxicity. Total levels of plasma ropivacaine varied from 0...
April 2014: Anaesthesia
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