Differential diagnosis of intraspinal and extraspinal non-discogenic sciatica

Külcü, Duygu Geler; Naderi, Sait

doi:10.1016/j.jocn.2008.01.017

Cited by 63 publications

(63 citation statements)

References 29 publications

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“…In 20% of cases, the discogenic and non-discogenic disorders cause sciatica [1]. In clinical practice the non-discogenic and extraspinal causes of sciatica are often misdiagnosed because of the higher sensitivity lumbar disc hernias [1].…”

Section: Discussionmentioning

confidence: 99%

“…Sciatica is a common disorder, which is frequently caused by lumbar disc herniation [1]. On the other hand some intraspinal or extraspinal pathologic causes which involve the sciatic nerve may result with sciatica.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand some intraspinal or extraspinal pathologic causes which involve the sciatic nerve may result with sciatica. The intraspinal non-discogenic sciatica (NDS) can be diagnosed by lumbar vertebrae imaging; but the extra spinal causes are often misdiagnosed because the clinicians usually focus on the lumbar spine as the cause of disorder [1]. The extra pelvic causes which affect the sciatic nerve usually localized distally from the sciatic notch [1].…”

Section: Introductionmentioning

confidence: 99%

“…The intraspinal non-discogenic sciatica (NDS) can be diagnosed by lumbar vertebrae imaging; but the extra spinal causes are often misdiagnosed because the clinicians usually focus on the lumbar spine as the cause of disorder [1]. The extra pelvic causes which affect the sciatic nerve usually localized distally from the sciatic notch [1]. Schwannomas are the most common benign tumors of the peripheral nervous system, which are encapsulated and composed of Schwann cells, but sciatic schwannomas are rare [2].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sciatic Schwannoma-Rare Cause of Sciatica: A Case Report

Çakmak¹,

Ulusal²,

Bïlgïç³

et al. 2015

Ann Clin Anal Med

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sciatic Schwannoma-Rare Cause of Sciatica: A Case Report

Çakmak¹,

Ulusal²,

Bïlgïç³

et al. 2015

Ann Clin Anal Med

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“…Therefore, the term 'deep gluteal syndrome' is now preferred to describe the presence of pain in the buttock caused from extra-pelvic entrapment of the sciatic nerve instead of the 'piriformis syndrome' [50].…”

Section: Deep Gluteal Syndrome Anatomical Considerationsmentioning

confidence: 99%

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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Purpose Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes. Methods By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described. Results The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement. Conclusions The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip.

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