2012, Number 3
<< Back Next >>
Rev Mex Med Fis Rehab 2012; 24 (3)
The piriformis muscle syndrome, an unusual etiology
Domínguez GLG, Domínguez CLG
Language: Spanish
References: 27
Page: 80-83
PDF size: 166.86 Kb.
ABSTRACT
Since 1947 Robinson coined the Piriformis syndrome term, but the first description is ascribed to Yeoman in 1928; it is a controverter syndrome because it may be confused with radicular compression by herniated disc and/or facet syndrome; the problems is located on sciatic nerve in its pelvic passage and the diagnosis must be done by exclusion. We present the case of a patient sent to rehabilitation by neurology service, with L5 radicular compression by herniated disc, but our exploration showed a piriformis syndrome, making the etiologic diagnostic in a fortuitous way.
REFERENCES
Robinson D. Piriformis syndrome in relation to sciatic pain. Am J Surg 1947; 73: 355-358.
Yeoman W. The relation of arthritis of the sacroiliac joint to sciatica. Lancet 1928; 11: 1119-1122.
Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve 2009; 40: 10-18.
Barton PM. Piriformis syndrome: a rational approach to management. Pain 1991; 47(3):345-352.
Beatty RA. The piriformis muscle syndrome: a simple diagnostic maneuver. Neurosurgery 1994; 34: 512-514.
Pace JB, Nagle D. Piriform syndrome. West J Med 1976; 124: 435-439.
Rodrique T, Hardy RW. Diagnosis and treatment of piriformis syndrome. Neurosurg Clin North Am 2001; 12: 311-319.
Fishman LM, Dombi GW, Michaelsen C et al. Piriformis syndrome: diagnosis, treatment and outcome. A 10-year study. Arch Phys Med Rehabil 2002; 83: 295-301.
Bernard TN Jr, Kirkaldy-WWH. Recognizing specific characteristics of non-specific low back pain. Clin Orthop 1987; 217: 266-280.
McCrory B, McCrory P, Bell S. Nerve entrapment syndromes as a cause of pain in the hip, groin and buttock. Sports Med 1999; 27: 261-274.
Windisch G, Braun EM, Anderhuber F. Piriformis muscle: clinical anatomy and consideration of the piriformis syndrome. Surg Radiol Anat 2007; 29: 37-45.
Smoll NR. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clin Anat 2010; 23: 8-17.
Guvencer M, Iyem C, Akyer P et al. Variations in the high division of the sciatic nerve and relationship between the sciatic nerve and the piriformis. Turk Neurosurg 2009; 19: 139-144.
Russell JM, Kransdorf MJ, Bancroft LW et al. Magnetic resonance imaging of the sacral plexus and piriformis muscles. Skeletal Radiol 2008; 37: 709-713.
Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthop Clin North Am 2004; 35: 65-71.
Benson ER, Schutzer SF. Posttraumatic piriformis syndrome: diagnosis and results of operative treatment. J Bone Joint Surg Am 1999; 81: 941-949.
Beauchesne RP, Schutzer SF. Myositis ossificans of the piriformis muscle. An unusual cause of piriformis syndrome. A case report. J Bone Joint Surg Am 1997; 70: 906-910.
Ku A, Kern H, Lachman E et al. Sciatic nerve impingement from piriformis hematoma due to prolonged labor. Muscle Nerve 1995; 18: 789-790.
Niu CC, Lai PL, Fu TS et al. Ruling out piriformis syndrome before diagnosing lumbar radiculopathy. Chang Gung Med J 2009; 32: 1182-1877.
Lewis AM, Layzer R, Engstrom JW et al. Magnetic resonance neurography in extraspinal sciatica. Arch Neurol 2006; 63: 1469-1472.
Filler AG, Haynes J, Jordan SE et al. Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine 2005; 2: 99-115.
Broadhurst NA, Simmons DN, Bond MJ. Piriformis syndrome: correlation of muscle morphology with symptoms and signs. Arch Phys Med Rehabil 2004; 85: 2036-2039.
Jawish RM, Assoum HA, Khamis CF. Anatomical, clinical and electrical observations in piriformis syndrome. J Orthop Surg Res 2010; 5: 3-9.
Yoon SJ, Ho J, Kang HY et al. Low-dose botulinum toxin type. A for the treatment of refractory piriformis syndrome. Pharmacotherapy 2007; 27: 657-665.
Reus M, de Dios BJ, Vazquez V et al. Piriformis syndrome: a simple technique for US-guided infiltration of the perisciatic nerve. Preliminary results. Eur Radiol 2008; 18: 616-620.
Dalmau CJ. Myofascial pain syndrome affecting the piriformis and the obturator internus muscle. Pain Pract 2005; 5: 361-363.
Indrekvam K, Sudmann E. Piriformis muscle syndrome in 19 patients treated by tenotomy A 1- to 16-year follow-up study. Int Orthop 2002; 26: 101-103.