Garden Allison R, Finerty Joshua T, Everhart Joshua S
Department of Orthopaedic Surgery, Indiana University, Indianapolis, Indiana, U.S.A.
Edward Via College of Osteopathic Medicine-Carolinas, Spartanburg, South Carolina, U.S.A.
Arthrosc Tech. 2025 Apr 12;14(6):103540. doi: 10.1016/j.eats.2025.103540. eCollection 2025 Jun.
Piriformis syndrome is a common, treatable cause of deep gluteal pain. Treatment often starts with conservative measures such as nonsteroidal anti-inflammatories, muscle relaxants, physical therapy, and injections, but some patients progress to needing surgical intervention. Several surgical techniques are currently used to treat piriformis syndrome, with an endoscopic approach gaining popularity because of its less invasive nature and, therefore, esthetic and symptomatic benefits. However, an open approach remains more effective in releasing severely adherent sciatic nerves, in addition to being less technically demanding. This article aims to describe a reproducible mini-open surgical technique for piriformis tenotomy with sciatic neurolysis, thereby providing patients with the esthetic and symptomatic benefits of a traditional endoscopic approach while maintaining the efficiency of a traditional open approach.
梨状肌综合征是深部臀肌疼痛的常见且可治疗的病因。治疗通常从保守措施开始，如使用非甾体抗炎药、肌肉松弛剂、物理治疗和注射，但一些患者会进展到需要手术干预。目前有几种手术技术用于治疗梨状肌综合征，由于其侵入性较小，具有美学和症状改善方面的优势，内镜手术方法越来越受欢迎。然而，开放手术方法在松解严重粘连的坐骨神经方面仍然更有效，而且技术要求较低。本文旨在描述一种可重复的微创开放手术技术，用于梨状肌切断术并进行坐骨神经松解，从而在为患者提供传统内镜手术方法的美学和症状改善优势的同时，保持传统开放手术方法的效率。
