Piriformis syndrome
Revision as of 15:48, 22 March 2016 by Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics")
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