http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 주제어 : piriformis syndrome (검색결과 45 건)
- 무료
- 기관 내 무료
- 유료
-
( Ezgi Akyildiz Tezcan ),( Kemal Erol ),( Ilknur Albayrak Gezer ) 대한류마티스학회 2024 대한류마티스학회지 Vol.31 No.2
Piriformis syndrome is a neuromuscular disorder characterized by hip, buttock, and leg pain. Axial spondyloarthritis is a rheumatic disease primarily affecting the sacroiliac joint and the spine. Due to their anatomical proximity, the potential relationship between piriformis syndrome and sacroiliitis has been discussed for some time. However, literature review revealed that there is no study on piriformis syndrome in individuals with axial spondyloarthritis. Here, we present the case of a 30-year-old female with axial spondyloarthritis who developed severe low back, hip, and buttock pain that persisted despite initial treatment for axial spondyloarthritis. We first re-evaluated her condition through physical examination, magnetic resonance imaging, and an injection test for piriformis syndrome. Following a comprehensive assessment, the patient was diagnosed with both axial spondyloarthritis and piriformis syndrome. Subsequently, a tailored treatment plan was devised, addressing both conditions, and after a 3-month course of treatment, we obtained significant reduction in pain of the patient. This is the first case report in literature, where we used injection test to confirm the diagnosis of the piriformis syndrome in a patient with axial spondyloarthritis. We therefore strongly advocate considering piriformis syndrome as a potential etiology for pain in individuals with axial spondyloarthritis consistently. This recognition is important as piriformis syndrome does not respond adequately to non-steroidal antiinflammatory drugs and may lead to unnecessary use of biological disease-modifying antirheumatic drugs. Timely identification and intervention are imperative in ensuring optimal patient care.
-
Looking beyond Piriformis Syndrome: Is It Really the Piriformis?
Shivam Sharma,Harmanpreet Kaur,Nishank Verma,Bibek Adhya 대한고관절학회 2023 Hip and Pelvis Vol.35 No.1
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.
-
Kim, Hae-Jung,Lee, So-Yeon,Park, Hee-Jin,Kim, Kun-Woo,Lee, Young-Tak Korean Society of Magnetic Resonance in Medicine 2019 Investigative Magnetic Resonance Imaging Vol.23 No.2
Piriformis syndrome caused by an accessory belly of the piriformis muscle is very rare. Only a few cases have been reported. Here, we report a case of piriformis syndrome resulting from an extremely rare type of accessory belly of the piriformis muscle originated at the proximal third portion of the main piriformis muscle and attached separately to the greater trochanter inferior to the insertion of the main piriformis muscle. A definitive diagnosis of piriformis syndrome was made based on magnetic resonance imaging and magnetic resonance neurography findings that were consistent with results of nerve conduction study and needle electromyography.
-
Byung-Chul Son,Changik Lee 대한신경손상학회 2022 Korean Journal of Neurotrauma Vol.18 No.2
Although anatomical variation of the sciatic nerve and piriformis muscle at the greater sciatic notch is considered an important cause of piriformis syndrome, there are few reports on the surgical treatment of piriformis syndrome owing to specific anatomical variations of the sciatic nerve and piriformis muscle. In this report, we describe 2 cases of piriformis syndrome caused by a rare type C sciatic nerve variation that were surgically treated using the transgluteal approach. The first patient reported unremitting left hip and leg pain that occurred following blunt trauma to the hip. The second patient complained of chronic pain in the buttocks and right leg, which persisted even after the patient underwent lumbar fusion surgery. Severe sitting pain and sciatica are symptomatic indications for the diagnosis of piriformis syndrome. A rare “C” type sciatic nerve variation was observed on the affected side under magnetic resonance imaging. Transgluteal sciatic nerve decompression provided significant pain relief. If severe sciatic nerve deformation due to a rare sciatic nerve variation can be confirmed with typical findings of piriformis syndrome, the possibility that sciatic nerve entrapment may have occurred in this variation should be considered.
-
김해정,이소연,박희진,김건우,이영탁 대한자기공명의과학회 2019 Investigative Magnetic Resonance Imaging Vol.23 No.2
Piriformis syndrome caused by an accessory belly of the piriformis muscle is very rare. Only a few cases have been reported. Here, we report a case of piriformis syndrome resulting from an extremely rare type of accessory belly of the piriformis muscle originated at the proximal third portion of the main piriformis muscle and attached separately to the greater trochanter inferior to the insertion of the main piriformis muscle. A definitive diagnosis of piriformis syndrome was made based on magnetic resonance imaging and magnetic resonance neurography findings that were consistent with results of nerve conduction study and needle electromyography.
-
Byung-chul Son 대한통증연구학회 2022 International Journal of Pain Vol.13 No.2
Sciatica, characterized by low back pain and radiating leg pain, is most commonly caused by degenerative spinal lesions involving the lumbosacral nerve root. However, it can be caused by any disorders affecting the sciatic nerve pathway in the pelvic and hip regions. Piriformis syndrome, entrapment of the sciatic nerve at the greater sciatic foramen in the subgluteal region, is an underdiagnosed and non-discogenic cause of sciatica. In patients with chronic sciatica due to piriformis syndrome, the coexistence of degenerative lumbar lesions, which may be judged as the cause of pain on magnetic resonance imaging (MRI) of the lumbar spine, increases the risk of unnecessary back surgery. The risk of failed back surgery syndrome is higher if physicians are unaware of the symptom characteristics of piriformis syndrome, such as pain at rest and sitting intolerance. Here we report a case of a patient with failed back surgery syndrome due to piriformis syndrome who underwent lumbar spine surgery without a lesion that could clearly explain the pain on lumbar MRI. Symptoms of piriformis syndrome, diagnosed late after the two back surgeries, improved after sciatic nerve decompression.
-
정희석,이근영,이영준,조유진,이준우,강흥식 대한초음파의학회 2015 ULTRASONOGRAPHY Vol.34 No.3
Purpose: The purpose of this study was to evaluate the long-term efficacy of ultrasound (US)- guided steroid injections in patients with piriformis syndrome. Methods: Between January 2010 and October 2012, 63 patients (23 men and 40 women; average age, 63.2 years; range, 24 to 90 years) were diagnosed with piriformis syndrome based on clinical history, electromyography, and flexion-adduction-internal rotation test results. They were divided into two groups. The first group (37 subjects) received a US-guided steroid injection around the piriformis muscle. The second group (26 subjects) received both piriformis muscle and spinal epidural injections. The therapeutic effect was categorized as improvement, partial improvement, or failure depending on the degree of symptom alleviation one month after injection, based on a review of each patient’s medical records. Results: In the first group, 15 patients (40.5%) showed improvement, seven (18.9%) showed partial improvement, and 15 (40.5%) failed to respond to the initial treatment. In the second group, eight patients (30.8%) showed improvement, 11 (42.3%) showed partial improvement, and seven (26.9%) failed to respond to the initial treatment. A second piriformis injection was performed in four cases, after which two patients showed improvement within 3 years, but the other two showed no therapeutic effect. Conclusion: US-guided steroid injection may be an effective treatment option for patients with piriformis syndrome.
-
임진용,이일우,김동현 KEMA학회 2018 근골격계과학기술학회 Vol.2 No.2
Background Piriformis syndrome (PS) is described as entrapment of the sciatic nerve at the level of the piriformis muscle. Selecting the most effective conservative treatment for PS continues to be a challenge. The movement-system-impairment (MSI) approach is based on the association of symptoms with incorrect movements of the hip. The purpose of this case report was to describe the MSI-based approach to diagnosis in a patient with PS. Study design Case report. Observations The patient was a 36-year-old man who presented with sciatic pain in the left lower extremity and anterior hip pain. He began to experience pain approximately 3 months prior to presentation. Prolonged periods spent in a sitting posture aggravated the pain and paresthesia. A clinical examination was performed and the MSI-based diagnosis of hip lateral rotation syndrome was determined. He was instructed to perform specific exercises to address these movement impairments. Exercises were prescribed to address impairments to muscle length, muscle strength, and motor control, all of which are proposed to contribute to the lateral rotation of the hip. The patient reported a reduction in pain and an improvement in his functional activities after 6 weeks of therapy. Conclusions The present study suggests that the therapeutic application of the MSI approach is effective in patients with PS. Background Piriformis syndrome (PS) is described as entrapment of the sciatic nerve at the level of the piriformis muscle. Selecting the most effective conservative treatment for PS continues to be a challenge. The movement-system-impairment (MSI) approach is based on the association of symptoms with incorrect movements of the hip. The purpose of this case report was to describe the MSI-based approach to diagnosis in a patient with PS. Study design Case report. Observations The patient was a 36-year-old man who presented with sciatic pain in the left lower extremity and anterior hip pain. He began to experience pain approximately 3 months prior to presentation. Prolonged periods spent in a sitting posture aggravated the pain and paresthesia. A clinical examination was performed and the MSI-based diagnosis of hip lateral rotation syndrome was determined. He was instructed to perform specific exercises to address these movement impairments. Exercises were prescribed to address impairments to muscle length, muscle strength, and motor control, all of which are proposed to contribute to the lateral rotation of the hip. The patient reported a reduction in pain and an improvement in his functional activities after 6 weeks of therapy. Conclusions The present study suggests that the therapeutic application of the MSI approach is effective in patients with PS.
-
Post-radiation Piriformis Syndrome in a Cervical Cancer Patient -A Case Report-
Sang Yoon Jeon,문호식,Yun Jung Han,성춘호 대한통증학회 2010 The Korean Journal of Pain Vol.23 No.1
The piriformis syndrome is a condition allegedly attributable to compression of the sciatic nerve by the piriformis muscle. Recently, magnetic resonance neurography and electrophysiologic study have helped to diagnose piriformis syndrome. High dose radiotherapy could induce acute and delayed muscle damage. We had experienced piriformis syndrome with fatty atrophy of piriformis muscle after radiotherapy for recurrent cervical cancer. (Korean J Pain 2010; 23: 88-91)
-
Post-radiation Piriformis Syndrome in a Cervical Cancer Patient -A Case Report-
Jeon, Sang-Yoon,Moon, Ho-Sik,Han, Yun-Jung,Sung, Choon-Ho The Korean Pain Society 2010 The Korean Journal of Pain Vol.23 No.1
The piriformis syndrome is a condition allegedly attributable to compression of the sciatic nerve by the piriformis muscle. Recently, magnetic resonance neurography and electrophysiologic study have helped to diagnose piriformis syndrome. High dose radiotherapy could induce acute and delayed muscle damage. We had experienced piriformis syndrome with fatty atrophy of piriformis muscle after radiotherapy for recurrent cervical cancer.
ScienceON연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
