全髋关节置换术后双侧梨状肌综合征

Bilateral piriformis syndrome after total hip arthroplasty.

作者信息

Uchio Y, Nishikawa U, Ochi M, Shu N, Takata K

机构信息

Department of Orthopaedics, Shimane Medical University, Izumoshi, Shimaneken, Japan.

出版信息

Arch Orthop Trauma Surg. 1998;117(3):177-9. doi: 10.1007/s004020050224.

DOI:10.1007/s004020050224

PMID:9521528

Abstract

We present the case of a 39-year-old man with bilateral piriformis syndrome 4 and 6 years after two cementless total hip arthroplasties, respectively. During surgical exploration, each sciatic nerve was found to be entrapped by a tense piriformis muscle and hypertrophic posterior hip capsule. The sciatic-type pain was relieved after sectioning each piriformis muscle with external neurolysis. This is the first reported case of piriformis syndrome after total hip arthroplasty.

摘要

我们报告一例39岁男性患者，分别在两次非骨水泥型全髋关节置换术后4年和6年出现双侧梨状肌综合征。手术探查时发现，每条坐骨神经均被紧张的梨状肌和肥厚的髋关节后关节囊卡压。通过切断每条梨状肌并进行外膜松解术后，坐骨神经型疼痛得到缓解。这是全髋关节置换术后梨状肌综合征的首例报道病例。