PIRIFORMIS MUSCLE SYNDROME - AN UNDERDIAGNOSED CAUSE OF SCIATICA

被引：57

作者：

DURRANI, Z

WINNIE, AP

机构：

[1] Department of Anesthesiology, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center

[2] Department of Anesthesiology, Pain Control Center, University of Illinois at Chicago, Chicago, IL

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 1991年 / 6卷 / 06期

关键词：

FAILED BACK SYNDROME; LOW BACK PAIN; PIRIFORMIS MUSCLE SYNDROME; SCIATICA;

D O I：

10.1016/0885-3924(91)90029-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This is a retrospective review of 26 patients with sciatica due to the piriformis muscle syndrome. Most patients had pain in the buttock area and sciatica, and most experienced difficulty walking and sitting, even for short periods of time. Reproduction of the sciatica upon deep palpation, either by gluteal or rectal route, was diagnostic. Reproduction of sciatica occurred in 92% of the patients upon deep digital palpation and in 100% of the patients upon rectal or pelvic examination. Other signs were helpful but not consistent. After the appropriate diagnosis, the treatment was relatively easy and rewarding. This study emphasizes that the diagnosis of piriformis muscle syndrome is clinical; without the appropriate clinical examination, it can be easily misdiagnosed.

引用

页码：374 / 379

页数：6

共 18 条

[1]

Yeoman, The relation of arthritis of the sacroiliac joint to sciatica, Lancet, 11, pp. 1177-1180, (1928)

[2]

Kirkaldy-Willis, A more precise diagnosis for lower back pain, Spine, 4, pp. 102-109, (1979)

[3]

Pace, Jagle, Piriformis syndrome, West j Med, 124, pp. 435-439, (1976)

[4]

Solheim, The piriformis muscle syndrome Sciatic nerve entrapment treated with section of piriformis muscle, Acta Orthopaedica, 51, pp. 73-75, (1981)

[5]

Clemente, Gray's anatomy, (1985)

[6]

Beaton, Anson, The relation of the sciatic nerve and of its subdivisions to piriformis muscle, The Anatomical Record, 70, pp. 1-5, (1937)

[7]

Beaton, Anson, The sciatic nerve and the piriformis muscle: Their interrelationship, a possible cause of coccygodenia, J Bone Joint Surg [AM], 20, pp. 686-688, (1938)

[8]

Pecina, Contribution to the etiological explanation of the piriformis syndrome, Acta Anat (Basel), 105, pp. 181-187, (1974)

[9]

Robinson, Piriformis syndrome in relation to sciatic pain, Am J Surg, 73, pp. 355-358, (1947)

[10]

Mizuguchi, Division of the piriformis muscle for the treatment of sciatica: postlaminectomy syndrome and osteoarthritis of spine, Arch Surg, 111, pp. 719-722, (1976)

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