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The Piriformis syndrome: a case report of an unusual cause of sciatica

Turtas, Sebastiano and Zirattu, Giuseppe (2006) The Piriformis syndrome: a case report of an unusual cause of sciatica. Journal of Orthopaedics and Traumatology, Vol. 7 (2), p. 97-99. eISSN 1590-9999. Article.

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DOI: 10.1007/s10195-006-0129-6

Abstract

Notwithstanding the advent of magnetic resonance imaging (MRI), some etiologies of piriformis syndrome continue to remain obscure and elude this investigation. We report a case characterized by a long history and a clinical picture both typical of piriformis syndrome, caused by hypertrophy of the piriformis muscle clearly demonstrated at MRI. At surgery, we also found a likely neurovascular conflict not documented by MRI, consisting of an intimate relation between the sciatic nerve and the inferior gluteal artery. Following the surgical correction of both possible sources of pain, the patient experienced a slowly progressive relief of the sciatica.

Item Type:Article
ID Code:4843
Status:Published
Refereed:Yes
Uncontrolled Keywords:MRI, neurovascular conflict, piriformis muscle, piriformis syndrome, sciatica
Subjects:Area 06 - Scienze mediche > MED/27 Neurochirurgia
Area 06 - Scienze mediche > MED/33 Malattie apparato locomotore
Divisions:001 Università di Sassari > 03 Istituti > Clinica ortopedica
001 Università di Sassari > 03 Istituti > Clinica neurochirurgica
Publisher:Springer Milan
eISSN:1590-9999
Deposited On:15 Nov 2010 16:36

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