Piriformis syndrome: Difference between revisions
(Created page with "==Background== *Irritation of the sciatic nerve from the piriformis muscle ==Clinical Features== *Pain in area of buttocks and hamstring muscles *Worsened by sitting, climbing s...") |
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*Pain in area of buttocks and hamstring muscles | *Pain in area of buttocks and hamstring muscles | ||
*Worsened by sitting, climbing stairs, or squatting | *Worsened by sitting, climbing stairs, or squatting | ||
==Differential Diagnosis== | |||
{{Hip pain DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
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*Conservative | *Conservative | ||
== | ==References== | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 03:57, 7 June 2015
Background
- Irritation of the sciatic nerve from the piriformis muscle
Clinical Features
- Pain in area of buttocks and hamstring muscles
- Worsened by sitting, climbing stairs, or squatting
Differential Diagnosis
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Diagnosis
- May have palpable, tender mass over piriformis muscle
- Hip flexion, passive internal rotation exacerbates pain
Treatment
- Conservative