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European Spine Journal
Erschienen in: European Spine Journal 12/2010

01.12.2010 | Review Article

The clinical features of the piriformis syndrome: a systematic review

verfasst von: Kevork Hopayian, Fujian Song, Ricardo Riera, Sidha Sambandan

Erschienen in: European Spine Journal | Ausgabe 12/2010

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Abstract

Piriformis syndrome, sciatica caused by compression of the sciatic nerve by the piriformis muscle, has been described for over 70 years; yet, it remains controversial. The literature consists mainly of case series and narrative reviews. The objectives of the study were: first, to make the best use of existing evidence to estimate the frequencies of clinical features in patients reported to have PS; second, to identify future research questions. A systematic review was conducted of any study type that reported extractable data relevant to diagnosis. The search included all studies up to 1 March 2008 in four databases: AMED, CINAHL, Embase and Medline. Screening, data extraction and analysis were all performed independently by two reviewers. A total of 55 studies were included: 51 individual and 3 aggregated data studies, and 1 combined study. The most common features found were: buttock pain, external tenderness over the greater sciatic notch, aggravation of the pain through sitting and augmentation of the pain with manoeuvres that increase piriformis muscle tension. Future research could start with comparing the frequencies of these features in sciatica patients with and without disc herniation or spinal stenosis.
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Metadaten
Titel
The clinical features of the piriformis syndrome: a systematic review
verfasst von
Kevork Hopayian
Fujian Song
Ricardo Riera
Sidha Sambandan
Publikationsdatum
01.12.2010
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe 12/2010
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-010-1504-9

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