Abstract
Sonographic evaluation of hamstring tendon muscle injuries has become routine for many professional sports teams. Although magnetic resonance imaging is the modality most useful immediately after an acute hamstring injury, ultrasound later helps with re-assessment and guides treatment, including injecting biocellular therapy, planning physical therapy, and projecting recovery time. The piriformis syndrome, in which there is muscular compression of the sciatic nerve, mimics lumbar radiculopathy and is challenging to treat. According to one cadaver study, ultrasound-guided injections for the treatment of piriformis syndrome are 95% accurate, compared with only 30% accuracy for fluoroscopically guided injections. Ischial bursitis, an excruciating condition, can be diagnosed by ultrasound; ultrasound-guided bursal injection avoids damaging the nearby sciatic nerve. Ultrasound has also been playing an increasing role in guiding sacroiliac joint injections.
The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lezak B, Massel DH. Anatomy, bony pelvis and lower limb, gemelli muscles. StatPearls. Treasure Island, FL: StatPearls Publishing. Copyright © 2022, StatPearls Publishing LLC.; 2022.
Vaughn JE, Cohen-Levy WB. Anatomy, bony pelvis and lower limb, posterior thigh muscles. StatPearls. Treasure Island, FL: StatPearls Publishing. Copyright © 2022, StatPearls Publishing LLC.; 2022.
Gutierrez M, Rodriguez S, Soto-Fajardo C, Santos-Moreno P, Sandoval H, Bertolazzi C, et al. Ultrasound of sacroiliac joints in spondyloarthritis: a systematic review. Rheumatol Int. 2018;38(10):1791–805.
Raj MA, Ampat G, Varacallo M. Sacroiliac Joint Pain. StatPearls. Treasure Island, FL: StatPearls Publishing. Copyright © 2022, StatPearls Publishing LLC.; 2022.
Pekkafahli MZ, Kiralp MZ, Başekim CC, Silit E, Mutlu H, Oztürk E, et al. Sacroiliac joint injections performed with sonographic guidance. J Ultrasound Med. 2003;22(6):553–9.
Jee H, Lee JH, Park KD, Ahn J, Park Y. Ultrasound-guided versus fluoroscopy-guided sacroiliac joint intra-articular injections in the noninflammatory sacroiliac joint dysfunction: a prospective, randomized, single-blinded study. Arch Phys Med Rehabil. 2014;95(2):330–7.
Chu SK, Rho ME. Hamstring injuries in the athlete: diagnosis, treatment, and return to play. Curr Sports Med Rep. 2016;15(3):184–90.
Brukner P. Hamstring injuries: prevention and treatment-an update. Br J Sports Med. 2015;49(19):1241–4.
Rubin DA. Imaging diagnosis and prognostication of hamstring injuries. AJR Am J Roentgenol. 2012;199(3):525–33.
Greenky M, Cohen SB. Magnetic resonance imaging for assessing hamstring injuries: clinical benefits and pitfalls - a review of the current literature. Open Access J Sports Med. 2017;8:167–70.
Pedret C. Hamstring muscle injuries: MRI and ultrasound for diagnosis and prognosis. J Belg Soc Radiol. 2021;105(1):91.
Lungu E, Michaud J, Bureau NJ. US assessment of sports-related hip injuries. Radiographics. 2018;38(3):867–89.
Minagawa H, Wong KH. Musculoskeletal ultrasound: Echo anatomy & scan technique: Amazon digital services; 2017.
Malliaropoulos NG. Non contact hamstring injuries in sports. Muscles Ligaments Tendons J. 2013;2(4):309–11.
Blaichman JI, Chan BY, Michelin P, Lee KS. US-guided musculoskeletal interventions in the hip with MRI and US correlation. Radiographics. 2020;40(1):181–99.
Hallin RP. Sciatic pain and the piriformis muscle. Postgrad Med. 1983;74(2):69–72.
Lin Y-T, Wang T-G. Ultrasonographic examination of the adult hip. J Med Ultrasound. 2012;20:201–9.
Ro TH, Edmonds L. Diagnosis and Management of Piriformis Syndrome: a rare anatomic variant analyzed by magnetic resonance imaging. J Clin Imaging Sci. 2018;8:6.
Finnoff JT, Hurdle MF, Smith J. Accuracy of ultrasound-guided versus fluoroscopically guided contrast-controlled piriformis injections: a cadaveric study. J Ultrasound Med. 2008;27(8):1157–63.
Lewis S, Jurak J, Lee C, Lewis R, Gest T. Anatomical variations of the sciatic nerve, in relation to the piriformis muscle. Transl Res Anatomy. 2016;5:15–9.
Anderson CR. Weaver’s bottom. JAMA. 1974;228(5):565.
Cho KH, Lee SM, Lee YH, Suh KJ, Kim SM, Shin MJ, et al. Non-infectious ischiogluteal bursitis: MRI findings. Korean J Radiol. 2004;5(4):280–6.
Wisniewski SJ, Hurdle M, Erickson JM, Finnoff JT, Smith J. Ultrasound-guided ischial bursa injection: technique and positioning considerations. PM R. 2014;6(1):56–60.
Battaglia PJ, Mattox R, Haun DW, Welk AB, Kettner NW. Dynamic ultrasonography of the deep external rotator musculature of the hip: a descriptive study. PM R. 2016;8(7):640–50.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Greenberg, M.H., Day, A.L., Alradawi, S. (2023). Posterior Hip. In: Manual of Musculoskeletal Ultrasound . Springer, Cham. https://doi.org/10.1007/978-3-031-37416-6_21
Download citation
DOI: https://doi.org/10.1007/978-3-031-37416-6_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37415-9
Online ISBN: 978-3-031-37416-6
eBook Packages: MedicineMedicine (R0)