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Arthroscopic treatment of piriformis syndrome by perineural cyst on the sciatic nerve: a case report

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This is a case report of an arthroscopic treatment performed on a patient with piriformis syndrome due to perineural cyst on piriformis muscle and sciatic nerve. Confirmation, incision, and drainage of benign cystic lesion on the sciatic nerve below the piriformis muscle were performed following the release of the piriformis tendon through the posterior and posteroinferior arthroscopic portal. Recurrence of the symptoms has not been observed since postoperative period of 20 months. Nor did the MRI taken after the procedure reveal any such recurrence.

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References

  1. Barton PM (1991) Piriformis syndrome: a rational approach to management. Pain 47:345–352

    Article  CAS  PubMed  Google Scholar 

  2. Benzon HT, Katz JA, Benzon HA, Iqbal MS (2003) Piriformis syndrome. Anesthesiology 98:1442–1448

    Article  PubMed  Google Scholar 

  3. Byrd JW (2005) Piriformis syndrome. Oper Tech Sports Med 13:71–79

    Article  Google Scholar 

  4. Childers MK, Wilson DJ, Gantz SM, Conway RR, Sherman AK (2002) Botulinum toxin type A use in piriformis syndrome: a pilot study. Am J Phys Med Rehabil 81:751–759

    Article  PubMed  Google Scholar 

  5. Dezawa A, Kusano S, Miki H (2003) Arthroscopic release of the piriformis muscle under local anesthesia for piriformis syndrome. Arthroscopy 19:554–557

    Article  PubMed  Google Scholar 

  6. Foster MR (2002) Piriformis syndrome. Orthopedics 25:821–825

    PubMed  Google Scholar 

  7. Kobbe P, Zelle BA, Gruen GS (2008) Case report: recurrent piriformis syndrome after surgical release. Clin Orthop Relat Res 466:1745–1748

    Article  PubMed  Google Scholar 

  8. Meknas K, Kartus J, Letto JI, Christensen A, Johansen O (2009) A 5-year prospective study of non-surgical treatment of retro-trochanteric pain. Knee Surg Sports Traumatol Arthrosc 17:1249–1256

    Article  PubMed  Google Scholar 

  9. Meknas K, Kartus J, Letto JI, Flaten M, Johansen O (2009) Surgical release of the internal obturator tendon for the treatment of retro-trochanteric pain syndrome: a prospective randomized study, with long-term follow-up. Knee Surg Sports Traumatol Arthrosc 17:996–1002

    Article  PubMed  Google Scholar 

  10. Parziale JR, Hudgins TH, Fishman LM (1996) The piriformis syndrome. Am J Orthop 25:819–823

    CAS  PubMed  Google Scholar 

  11. Porta M (2000) A comparative trial of botulinum toxin type A and methylprednisolone for the treatment of myofascial pain syndrome and pain from chronic muscle spasm. Pain 85:101–105

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Chungnam National University School of Medicine, 33 Munhwa-ro, Jung-gu, Daejeon, 301-721, Korea

    Deuk-Soo Hwang, Chan Kang, Jung-Bum Lee, Soo-Min Cha & Kyu-Woong Yeon

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  1. Deuk-Soo Hwang
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  2. Chan Kang
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  3. Jung-Bum Lee
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  4. Soo-Min Cha
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  5. Kyu-Woong Yeon
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Correspondence to Deuk-Soo Hwang.

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Hwang, DS., Kang, C., Lee, JB. et al. Arthroscopic treatment of piriformis syndrome by perineural cyst on the sciatic nerve: a case report. Knee Surg Sports Traumatol Arthrosc 18, 681–684 (2010). https://doi.org/10.1007/s00167-009-1013-8

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  • DOI: https://doi.org/10.1007/s00167-009-1013-8

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