Atıcı Arzu, Geler Külcü Duygu, Akpınar Pınar, Akay Urgun Deniz
Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, İstanbul, Turkey.
Turk J Phys Med Rehabil. 2017 Nov 24;63(4):355-356. doi: 10.5606/tftrd.2017.684. eCollection 2017 Dec.
Herein, we report a 51-year-old female with complaint of right sciatica. According to physical examination, the etiology was suspected as piriformis syndrome. Therefore, piriformis injection was administered and piriformis stretching exercises were recommended.However the complains did not resolve. Magnetic resonance imaging showed hyperintensity of the right inferior musculus gemellus. One of the main causes of extra-spinal sciatica is piriformis syndrome. However, other pelvic muscles anatomically near the sciatic nerve are often overlooked. Magnetic resonance imaging is useful in the differential diagnosis from intractable piriformis syndrome, particularly in cases resistant to treatment.
在此，我们报告一名51岁女性，主诉右下肢坐骨神经痛。根据体格检查，病因怀疑为梨状肌综合征。因此，进行了梨状肌注射，并建议进行梨状肌伸展运动。然而，症状并未缓解。磁共振成像显示右下方闭孔肌信号增强。椎管外坐骨神经痛的主要原因之一是梨状肌综合征。然而，坐骨神经在解剖学上附近的其他盆腔肌肉常常被忽视。磁共振成像有助于与难治性梨状肌综合征进行鉴别诊断，特别是在治疗抵抗的病例中。
