Inferior Gluteal Nerve Entrapment

Trescot, Andrea M.

doi:10.1007/978-3-319-27482-9_54

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…The term, “deep gluteal syndrome”, in itself, potentially covers cases with posterior hip pain in the deep gluteal space caused by anything outside of sciatic nerve entrapment, such as bursitis in the deep gluteal space, proximal hamstring tendinopathy, and piriformis muscle pyomyositis [13, 30]. Also, posterior femoral cutaneous nerve entrapment, inferior gluteal nerve entrapment, and superior gluteal nerve entrapment may be broadly categorized into DGS if these nerves are compressed in the deep gluteal space [21, 31, 32]. In searching the literature, we could not find any DGS cases outside of sciatic nerve entrapment.…”

Section: Discussionmentioning

confidence: 99%

Deep gluteal syndrome is defined as a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space: a systematic review

Kizaki

Uchida

Shanmugaraj

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Clinicians are not confident in diagnosing deep gluteal syndrome (DGS) because of the ambiguity of the DGS disease definition and DGS diagnostic pathway. The purpose of this systematic review was to identify the DGS disease definition, and also to define a general DGS diagnostic pathway. Methods A systematic search was performed using four electronic databases: PubMed, MEDLINE, EMBASE, and Google Scholar. In eligibility criteria, studies in which cases were explicitly diagnosed with DGS were included, whereas review articles and commentary papers were excluded. Data are presented descriptively. Results The initial literature search yielded 359 articles, of which 14 studies met the eligibility criteria, pooling 853 patients with clinically diagnosed with DGS. In this review, it was discovered that the DGS disease definition was composed of three parts: (1) non‐discogenic, (2) sciatic nerve disorder, and (3) nerve entrapment in the deep gluteal space. In the diagnosis of DGS, we found five diagnostic procedures: (1) history taking, (2) physical examination, (3) imaging tests, (4) response‐to‐injection, and (5) nerve‐specific tests (electromyography). History taking (e.g. posterior hip pain, radicular pain, and difficulty sitting for 30 min), physical examination (e.g. tenderness in deep gluteal space, pertinent positive results with seated piriformis test, and positive Pace sign), and imaging tests (e.g. pelvic radiographs, spine and pelvic magnetic resonance imaging (MRI)) were generally performed in cases clinically diagnosed with DGS. Conclusion Existing literature suggests the DGS disease definition as being a non‐discogenic sciatic nerve disorder with entrapment in the deep gluteal space. Also, the general diagnostic pathway for DGS was composed of history taking (posterior hip pain, radicular pain, and difficulty sitting for 30 min), physical examination (tenderness in deep gluteal space, positive seated piriformis test, and positive Pace sign), and imaging tests (pelvic radiographs, pelvic MRI, and spine MRI). This review helps clinicians diagnose DGS with more confidence. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Deep gluteal syndrome is defined as a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space: a systematic review

Kizaki

Uchida

Shanmugaraj

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

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Invasive pulmonary aspergillosis with intercostal neuropathy and paroxysmal dyspnea

Divella

Vetrugno

Russo³

et al. 2019

Minerva Anestesiol

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The Importance of Sacral Neuroanatomy in Pain Syndromes and Procedures

Hashemi

Momenzadeh

Taheri

et al. 2021

Interv Pain Med Neuromod

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: The neural plexus exists in different parts of the body. The sacral plexus is the lowest neural network in the body that is responsible for sensory and motor innervation to a large part of the body. The sacral plexus or sacral nerve roots may be damaged by diseases, such as disc herniation, spinal canal stenosis, and cancer or iatrogenic injuries during surgery or interventional pain procedures (open spinal surgeries, hip surgeries, percutaneous endoscopic disc decompression, trans-sacral epiduroscopic laser decompression, …). Patients with sacral nerve damage may experience a variety of symptoms, including low back pain radiating to the legs, sensory disturbance in the buttocks or legs, motor weakness in the legs, bladder or bowel dysfunction (urinary retention/incontinence, defecation’s problems), or sexual dysfunction. Therefore, complete familiarity with the anatomy of the sacral plexus is very important. In this article, we tried to review the anatomy of the sacral plexus and sensory or motor innervations of each terminal branch of the sacral plexus. Also, the clinical importance of these nerves in the development of pain syndromes and diagnostic and therapeutic methods for damage to the terminal branches of the sacral plexus were investigated.

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Inferior Gluteal Nerve Entrapment

Cited by 3 publications

References 9 publications

Deep gluteal syndrome is defined as a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space: a systematic review

Deep gluteal syndrome is defined as a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space: a systematic review

Invasive pulmonary aspergillosis with intercostal neuropathy and paroxysmal dyspnea

The Importance of Sacral Neuroanatomy in Pain Syndromes and Procedures

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