| Yazarlar (4) |
Gamze Gül Güleç
Fatih Sultan Mehmet Training and Research Hospital, Turkey |
|
Kübra Neslihan Kurt Oktay
Yeditepe University, Turkey |
|
İlknur Aktaş
Fatih Sultan Mehmet Training and Research Hospital, Turkey |
|
Barış Yılmaz
Fatih Sultan Mehmet Training and Research Hospital, Turkey |
| Özet |
| Objective: The aim of this article is to present examples of patients in whom piriformis muscle (PM) and sciatic nerve (SN) variations were detected by a diagnostic ultrasound (US)–guided examination and were successfully diagnosed and treated for piriformis syndrome (PS) by US-guided injections. Clinical Features: This series includes 4 cases. In case 1, a 30-year-old woman with a 7 numeric rating scale (NRS) score for pain (on a 0-10 scale) was evaluated for complaints of left gluteal pain radiating to the thigh for 5 years and right gluteal pain for 2 years. Case 2 involves a 32-year-old man with a 7 NRS score presenting with left gluteal pain radiating to his leg for 1 year. The third case presents a 37-year-old man who had pain (6 NRS score), numbness, and discomfort radiating from the right hip to the leg that lasted for 7 years. Finally, in case 4, a 23-year-old male patient was examined with deep gluteal paresthesia and discomfort on the left side for 1 year. Intervention and Outcome: Diagnostic US evaluation of the gluteal region for each patient revealed anatomical variations of the SN. In 3 of the cases, corresponding contralateral US images demonstrated similar anatomic variations. Diagnosis of PS in each patient was made by US-guided injection. After the injection of 4 cm3 of lidocaine 2% into the PM, the patients’ complaints resolved almost fully. Conclusion: The anatomical variations of the SN and PM might be a facilitating factor for myofascial pain syndrome in PS. These cases demonstrate that SN variations could be visualized with the help of diagnostic US. |
| Anahtar Kelimeler |
| Anatomic Variation | Myofascial Pain Syndromes | Piriformis Muscle Syndrome | Sciatic Nerve | Ultrasonography |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SCOPUS dergilerinde yayımlanan tam makale |
| Dergi Adı | Journal of Chiropractic Medicine |
| Dergi ISSN | 1556-3707 |
| Makale Dili | İngilizce |
| Basım Tarihi | 09-2022 |
| Cilt No | 21 |
| Sayı | 3 |
| Sayfalar | 213 / 219 |
| Doi Numarası | 10.1016/j.jcm.2022.02.017 |
| Atıf Sayıları | |
| SCOPUS | 1 |
| Google Scholar | 3 |
