Article

A 68-year-old male long distance runner presented with low back and left buttock
pain, which eventually progressed to severe and debilitating pain, intermittently
radiating to the posterior thigh and foot. A comprehensive workup ruled out
possible spine or hip causes of his symptoms. A pelvic magnetic resonance imaging
neurogram with complex oblique planes through the piriformis demonstrated variant
anatomy of the left sciatic nerve consistent with the clinical diagnosis of
piriformis syndrome. The patient ultimately underwent neurolysis with release of
the sciatic nerve and partial resection of the piriformis muscle. After surgery
the patient reported significant pain reduction and resumed running 3 months
later. Piriformis syndrome is uncommon but should be considered in the
differential diagnosis for buttock pain. Advanced imaging was essential to guide
management.
CI - Copyright (c) 2016. Published by Elsevier Inc.

Langue : ANGLAIS