Endoscopic Technique: Sciatic Neurolysis and Piriformis Tendon Release for Treating Piriformis Syndrome.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 39780882.
- Also identified by DOI 10.1016/j.eats.2024.103137 and PMC identifier 11704919.
- Licence recorded as CC BY-NC-ND.
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Abstract
Piriformis syndrome (PS) is an underdiagnosed condition, caused by entrapment of the sciatic nerve by the piriformis muscle tendon and adhesions in the deep gluteal space. We present a step-by-step endoscopic technique with the patient in a prone position through a posterior approach. This approach provides improved orientation for tracking the sciatic nerve from distal to proximal, facilitating the release of all adhesions and concluding with a piriformis tendon release. This method aims to enhance surgical safety during the procedure.