Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors

Ermiş, Mehmet Nurullah; Yıldırım, Düzgün; Durakbaşa, Mehmet Oğuz; Tamam, Cüneyt; Ermis, Oznur Eroglu

doi:10.3233/bmr-2011-0287

Cited by 30 publications

(31 citation statements)

References 9 publications

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“…After the first report of a series of patients whose LBP was ameliorated by SCN decompression at the orifice of the thoracolumbar fascia, 14 others [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] documented LBP due to SCN-E. However, the pathologic background of this type of LBP has not been extensively studied.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of low back pain (LBP) is heterogeneous and unknown in some patients with chronic pain. 1 Superior cluneal nerve entrapment (SCN-E) has been proposed as a causative factor [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] ; its reported incidence ranges from 1.6%-14%. 10,11 The SCN derives from the cutaneous branches of the dorsal rami at T11-L4 and innervates the skin of the upper part of the buttocks.…”

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confidence: 99%

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Low back pain due to superior cluneal nerve entrapment: A clinicopathologic study

Kim

Shimizu²,

Isu

et al. 2017

Muscle and Nerve

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Low back pain due to superior cluneal nerve entrapment: A clinicopathologic study

Kim

Shimizu²,

Isu

et al. 2017

Muscle and Nerve

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“…The literature contains limited information about MSCNE. 4 To date the diagnosis of MSCNE is clinical with high-index suspicion and by ruling out other etiology. Here we present a case of SCNE and draw attention to pain physician in SCNE.…”

Section: Introductionmentioning

confidence: 99%

Superior Cluneal Nerve Entrapment—Possible Pain Generator in Low Back Pain

Sidhaye¹,

Keniya²,

Kulkarni³

2019

Journal on Recent Advances in Pain

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High number of patients coming to pain clinic complain of low back pain (LBP) and this puts the pain physician in lot of diagnostic predicament. Consideration of common reasons from myofascial pain generator to rarer like cluneal nerve entrapment requires updating of knowledge regarding various rare pain generators in the back region. The cutaneous branches of cluneal nerve, namely, superior and middle are purely sensory. They provide sensation in the lumbar region and the buttocks, and their impingement around the iliac crest can cause LBP radiating to lower limb. Diagnosing uncommon cause for LBP owing to superior cluneal nerve impingement becomes a challenging task due to the absence of any diagnostic criteria apart from the high-index suspicion based on clinical findings and ruling out other common causes of LBP. It is usually misdiagnosed as a lumbar spine disorder. Here we present a case of chronic low backache with vague symptoms, which was successfully treated with the cluneal nerve block and the diagnosis of cluneal nerve entrapment was confirmed.

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“…There are many aetiological factors for LBP but even with the use of new imaging techniques no obvious cause can be found in approximately 50% of these cases. 1 One of the many missed causes of LBP is entrapment of the medial branch of the superior cluneal nerve (SCN), which accounts for approximately 10% of all reported LBP cases.…”

Section: Introductionmentioning

confidence: 99%

“…1 The SCN originates from the dorsal rami of the L1-L3 spinal nerve roots and provides sensory innervation over the posterior aspect of the iliac crest and upper middle buttock. Within its course, the SCN pierces the psoas major muscle and paraspinal muscles, runs posterior to the quadratus lumborum muscle and pierces the thoracolumbar fascia as it crosses over the posterior part of the iliac crest.…”

Section: Introductionmentioning

confidence: 99%

Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks

Loubser

Raath

Schoor

2015

Southern African Journal of Anaesthesia and Analgesia

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Background: Lower back pain (LBP) remains a common ailment among adult populations and a superior cluneal nerve (SCN) entrapment accounts for 10% of reported LBP cases. The diagnostic criteria for SCN entrapment include anaesthesia of the area supplied by the SCN after performing a nerve block. Several surgical reports describe the anatomy of the SCN but purely anatomical studies of the course of the SCN are rare. This study aimed to describe the location of the SCN in relation to easily identifiable bony landmarks. Methods: The SCN was identified as it pierced the thoracolumbar fascia and crossed over the posterior part of the iliac crest on both sides of 27 adult cadavers. A sliding dial calliper was used to measure the distance from the posterior superior iliac spine (PSIS) to the SCN and from the midline lumbar spinous processes to the nerve. Results: The PSIS to SCN measurement was found to be 69.6 ± 15.0 mm (mean ± SD) while the midline to SCN measurement was 72.1 ± 10.2 mm. Discussion: This study showed clear gender differences in the PSIS to SCN measurement, due to the sexual dimorphism of the bony pelvis. There was also found to be a positive correlation between the height of the sample and the distances of the SCN from both the midline and PSIS. This study provides a clear anatomical description of the course of the SCN as it crosses the iliac crest, which will allow for the successful identification of the SCN.

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Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors

Abstract: Diagnostic study, Level I-1 (prospective study).

Cited by 30 publications

References 9 publications

Low back pain due to superior cluneal nerve entrapment: A clinicopathologic study

Low back pain due to superior cluneal nerve entrapment: A clinicopathologic study

Superior Cluneal Nerve Entrapment—Possible Pain Generator in Low Back Pain

Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks

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