Archives of Orthopaedic and Trauma Surgery

, Volume 117, Issue 3, pp 177–179

Bilateral piriformis syndrome after total hip arthroplasty

Authors

  • Y. Uchio
    • Department of Orthopaedics, Shimane Medical University, 89-1 Enyacho, Izumoshi, Shimaneken, Japan 693
  • U. Nishikawa
    • Department of Orthopaedics, Shimane Medical University, 89-1 Enyacho, Izumoshi, Shimaneken, Japan 693
  • M. Ochi
    • Department of Orthopaedics, Shimane Medical University, 89-1 Enyacho, Izumoshi, Shimaneken, Japan 693
  • N. Shu
    • Department of Orthopaedics, Shimane Medical University, 89-1 Enyacho, Izumoshi, Shimaneken, Japan 693
  • K. Takata
    • Department of Orthopaedics, Shimane Medical University, 89-1 Enyacho, Izumoshi, Shimaneken, Japan 693
Current problem case

DOI: 10.1007/s004020050224

Cite this article as:
Uchio, Y., Nishikawa, U., Ochi, M. et al. Arch Orth Traum Surg (1998) 117: 177. doi:10.1007/s004020050224

Abstract

We present the case of a 39-year-old man with bilateral piriformis syndrome 4 and 6 years after two cementless total hip arthroplasties, respectively. During surgical exploration, each sciatic nerve was found to be entrapped by a tense piriformis muscle and hypertrophic posterior hip capsule. The sciatic-type pain was relieved after sectioning each piriformis muscle with external neurolysis. This is the first reported case of piriformis syndrome after total hip arthroplasty.

Copyright information

© Springer-Verlag Berlin Heidelberg 1998