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2016 ; 17
(ä): 218
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Clinical results of endoscopic sciatic nerve decompression for deep gluteal
syndrome: mean 2-year follow-up
#MMPMID27206482
Park MS
; Yoon SJ
; Jung SY
; Kim SH
BMC Musculoskelet Disord
2016[May]; 17
(ä): 218
PMID27206482
show ga
BACKGROUND: The purpose of this study is to assess the effectiveness of
endoscopic sciatic nerve decompression and evaluated the differences of clinical
results between atraumatic and traumatic groups. METHODS: Sixty consecutive
patients. We retrospectively reviewed sixty consecutive patients without major
trauma (45 hips) or with major trauma (15 hips) groups to compare the outcomes of
endoscopic treatment.). The mean follow-up period was 24?±?2.6 months (range,
24-38.4 months). RESULTS: The mean duration of symptoms was 14.1 months (range,
12 to 32 months). Compromising structures were piriformis muscle, fibrovascular
bundles, and adhesion with scar tissues. The mean VAS score for pain decreased
from 7.4?±?1.5 to 2.6?±?1.5 (P?=?.001). The mean mHHS increased from 81.7?±?9.6
to 91.8?±?7.6 (P?=?.003). Clinically, positive paresthesia and seated piriformis
test were statistically significant to diagnosis sciatic entrapment syndrome.
Paresthesia and sitting pain were significantly improved at the final follow-up
(P?=?.002). More favorable outcome was observed a group without major trauma. No
complication was observed. CONCLUSIONS: Endoscopic sciatic nerve decompression is
a safe and effective procedure for the management of DGS. Patients with major
trauma could have poor clinical outcome. Seated piriformis test, FADIR, and
tenderness of sciatic notch are maybe useful guide for pre and postoperative
evaluation of DGS.
|Adult
[MESH]
|Aged
[MESH]
|Decompression, Surgical/methods/*statistics & numerical data
[MESH]