Piriformis syndrome: clinical features

Evidence-based neurology checklist on piriformis syndrome: clinical features: Pathology This is caused by extra-pelvic sciatic nerve entrapment in the deep gluteal space Causes: piriformis muscle abnormalities Causes: others Clinical features Proposed diagnostic criteria (any 4) Aggravating…

Pathology

  • This is caused by extra-pelvic sciatic nerve entrapment in the deep gluteal space

Causes: piriformis muscle abnormalities

Causes: others

Clinical features

Proposed diagnostic criteria (any 4)

Aggravating factors

Provocative manoeuvres: passive stretch tests

Provocative manoeuvres: resisted contraction provocation tests

Provocative manoeuvres: other tests

Synonyms

References

  1. Ailianou A, Fitsiori A, Syrogiannopoulou A, et al. Review of the principal extra spinal pathologies causing sciatica and new MRI approaches. Br J Radiol 2012; 85:672-681.
  2. Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the piriformis syndrome: a systematic review. Eur Spine J 2010; 19:2095-2109.
  3. Liveson JA. Peripheral Neurology: Case Studies. Third edition Oxford University Press Oxford 2000 p421.
  4. Siddiq MAB. Piriformis syndrome and wallet neuritis: are they the same? Cureus 2018; 10:e2606. 
  5. Aguilera-Bohorquez B, Cardozo O, Brugiatti M, Cantor E, Valdivia N. Endoscopic treatment of sciatic nerve entrapment in deep gluteal syndrome: Clinical results. Rev Esp Cir Ortop Traumatol 2018; 62:322-327.
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