Scope Essentials 2024-Ischiofemoral Impingement, DGS, and Piriformis Syndrome

Ischiofemoral Impingement, DGS, and Piriformis Syndrome

Video Transcription

Video Summary

Anthony Celia from Seton Hall University discusses deep gluteal space syndrome, a cause of buttock pain radiating to the hamstring, often due to sciatic nerve entrapment beneath the gluteus maximus. Common pathologies include piriformis syndrome and ischiofemoral impingement. Diagnosis combines physical exam, imaging, EMG, and diagnostic injections. Conservative treatment focuses on physical therapy, stretching, and injections; surgery is reserved for refractory cases. Arthroscopic techniques allow minimally invasive nerve decompression with careful vascular and nerve preservation. Outcomes vary, and ruling out spinal causes is crucial. Patient counseling on potential post-op weakness is important. Rehabilitation remains the mainstay, with surgery as a secondary option.

Asset Caption

Anthony J. Scillia, M.D.

Keywords

deep gluteal space syndrome

sciatic nerve entrapment

piriformis syndrome

ischiofemoral impingement

arthroscopic nerve decompression