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Looking beyond Piriformis Syndrome: Is It Really the Piriformis?

Shivam Sharma|Harmanpreet Kaur|Nishank Verma|Bibek Adhya
대한고관절학회 (The Korean Hip Society)|2023.03|Hip and Pelvis|제35권 제1호|pp. 1-5|DOI https://doi.org/10.5371/hp.2023.35.1.1

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키워드

Differential diagnosisSciaticaPelvisPiriformis syndrome

초록

Piriformis syndrome is a common differential diagnosis related to sciatica. The following review provides a concise synopsis of the diagnosis, management, history, and alternatives to diagnosis of piriformis syndrome. A search of the literature for research articles related to piriformis syndrome and associated differential diagnosis of sciatica was conducted. A thorough review of the included articles found that the condition known as piriformis syndrome is over-diagnosed and that potential anatomic and biomechanical variations originating in the pelvic region might be related to the complaint of sciatica. The criteria for diagnosis are based on findings from both physical examination and radio imaging. Piriformis syndrome resembles a variety of clinical conditions; therefore, conduct of future studies should include development of a validated method for evaluation as well as clinical criteria for diagnosis of piriformis syndrome.

Abstract

Piriformis syndrome is a common differential diagnosis related to sciatica. The following review provides a concise synopsis of the diagnosis, management, history, and alternatives to diagnosis of piriformis syndrome. A search of the literature for research articles related to piriformis syndrome and associated differential diagnosis of sciatica was conducted. A thorough review of the included articles found that the condition known as piriformis syndrome is over-diagnosed and that potential anatomic and biomechanical variations originating in the pelvic region might be related to the complaint of sciatica. The criteria for diagnosis are based on findings from both physical examination and radio imaging. Piriformis syndrome resembles a variety of clinical conditions; therefore, conduct of future studies should include development of a validated method for evaluation as well as clinical criteria for diagnosis of piriformis syndrome.

참고문헌 (35)

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관련 논문AI추천

Extra-spinal sciatica and sciatica mimics: a scoping reviewDanny Clegg, Johannes J Rasker, Md Abu Bakar Siddiq, Suzon Al Hasan대한통증학회 · The Korean Journal of Pain2020 · 제33권 제4호Accessory Belly of the Piriformis Muscle as a Cause of Piriformis Syndrome: a Case Report with Magnetic Resonance Imaging and Magnetic Resonance Neurography Imaging Findings김건우, 김해정, 박희진, 이소연, 이영탁대한자기공명의과학회 · Investigative Magnetic Resonance Imaging2019 · 제23권 제2호Leg Weakness Caused by Bilateral Piriformis Syndrome: A Case Report권범선, 김창재, 남기연, 류기형, 문희봉, 박진우, 이호준대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제6호A critical factor in resistant piriformis syndrome cases: awareness of sacrotuberous ligament painAyşenur Ada, Bülent Alyanak, Burak Tayyip Dede, Fatih Bağcıer, Muhammed Oğuz대한통증학회 · The Korean Journal of Pain2024 · 제37권 제4호Piriformis Muscle: Clinical Anatomy with Computed Tomography in Korean Population박찬홍, Hahck Soo Park, Sang Chul Lee, Sang Ho Lee대한통증학회 · The Korean Journal of Pain2011 · 제24권 제2호사체를 이용한 이상근 주사 위치에 대한 해부학적 지표김고운, 민지혜, 이베나, 이원일, 최은석대한재활의학회 · Annals of Rehabilitation Medicine2008 · 제32권 제1호

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