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Piriformis syndrome
From WikEM
Contents
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
- Femur fracture
- Hip dislocation
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic Arthritis (Hip)
- Obturator nerve entrapment
- Pelvic fractures
- Avascular necrosis of hip
Evaluation
- May have palpable, tender mass over piriformis muscle
- Hip flexion, passive internal rotation exacerbates pain
Management
- Conservative
References
Authors
Jordan Swartz, Ross Donaldson, Daniel Ostermayer, Neil Young
