Surgical treatment of middle cluneal nerve entrapment neuropathy: technical note

Matsumoto, Juntaro; Isu, Toyohiko; Kim, Kyongsong; Iwamoto, Naotaka; Morimoto, Daijiro; Isobe, Masanori

doi:10.3171/2017.12.spine17991

Cited by 26 publications

(30 citation statements)

References 22 publications

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“…MPS of GMed origin has a simple pathology, but this simple pathology appears to have a big impact. Thus, understanding the MPS basis of diagnosis and treatment, the evaluation of target muscles and adjacent peripheral nerve constriction is vital 11,23,94,103) .…”

Section: Discussionmentioning

confidence: 99%

“…Constriction of the cluneal nerves is a differential diagnosis of hip pain 23) . The symptoms and site of cluneal nerve constriction are similar in presentation to those of MTrPS of the gluteus maximus 23,93) . Sometimes even water-diluted local Hoeksma HL et al 131) Patients with symptomatic hip OA (n=109)…”

Section: Discussionmentioning

confidence: 99%

“…11) Patients . Constriction of peripheral nerves such as the middle cluneal nerve is known to contribute to gluteal pain 23,94) . Leg pain including patellofemoral pain syndrome (PFPS) is also related to the GMed ( Table 9).…”

Section: Gluteal Tendon Repairsmentioning

confidence: 99%

“…The prevalence of MPS within the context of chronic back pain or non-specific back pain is about 70-90% 11,19,20) , while the prevalence of myofascial trigger points (MTrPs) in GMed namely GMedS within the context of chronic low back pain or nonspecific low back pain is about 38-68% 11,20,21) . GMedS is treated by physiotherapy, manual trigger point therapy, or trigger point block injection 10,11,22) , and in difficult cases by surgical decompression of the GMed or the cluneal nerve 10,23) .…”

Section: Introductionmentioning

confidence: 99%

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Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Kameda

Tanimae²,

Kihara³

et al. 2020

J Phys Ther Sci

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Gluteus medius syndrome is one of the major causes of back pain or leg pain and is similar to greater trochanteric pain syndrome, which also presents with back pain or leg pain. Greater trochanteric pain syndrome is associated with lumbar degenerative disease and hip osteoarthritis. The objective of this review was to demonstrate gluteus medius syndrome as a disease entity by reviewing relevant articles to elucidate the condition. [Methods] Gluteus medius syndrome was defined as myofascial pain syndrome arising from the gluteus medius. We performed a search of the literature using the following keywords: "back pain", "leg pain", "greater trochanteric pain syndrome", "degenerative lumbar disease", "hip osteoarthritis", and "gluteus medius". We reviewed articles related to gluteus medius syndrome and described the findings in terms of diagnosis and treatment based on the underlying pathology. [Results] A total of 135 articles were included in this review. Gluteus medius syndrome is similar as a disease entity to greater trochanteric pain syndrome, which presents with symptoms of low back pain and leg pain. Gluteus medius syndrome is also related to lumbar degenerative disease, hip osteoarthritis, knee osteoarthritis, and failed back surgery syndrome. [Conclusion] Accurate diagnosis of gluteus medius syndrome and appropriate treatment could possibly improve lumbar degenerative disease and osteoarthritis of the hip and knee, as well as hip-spine syndrome and failed back surgery syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Gluteal Tendon Repairsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Kameda

Tanimae²,

Kihara³

et al. 2020

J Phys Ther Sci

View full text Add to dashboard Cite

show abstract

“…Although Tubbs et al [ 9 ] claimed that the MCN cannot be entrapped because it runs superficial to the LPSL, others considered MCN-E possible because the lateral branches of the dorsal sacral rami penetrate the LPSL [ 12 , 13 ]. In patients with LBP the putative cause was MCN-E [ 14 - 16 ].…”

Section: Anatomymentioning

confidence: 99%

Superior and Middle Cluneal Nerve Entrapment as a Cause of Low Back Pain

et al. 2018

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Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their entrapment around the iliac crest can elicit LBP. The reported incidence of SCN entrapment (SCN-E) in patients with LBP is 1.6%–14%. SCN-E and MCN entrapment (MCN-E) produce leg symptoms in 47%–84% and 82% of LBP patients, respectively. In such patients, pain is exacerbated by lumbar movements, and the symptoms mimic radiculopathy due to lumbar disorder. As patients with failed back surgery or Parkinson disease also report LBP, the differential diagnosis must include those possibilities. The identification of the trigger point at the entrapment site and the disappearance of symptoms after nerve block are diagnostically important. LBP due to SCN-E or MCN-E can be treated less invasively by nerve block and neurolysis. Spinal surgeons treating patients with LBP should consider SCN-E or MCN-E.

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Fascial entrapment neuropathy

2019

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Entrapment neuropathies are debilitating clinical conditions, creating significant morbidity in the upper and lower extremities in terms of pain, sensory abnormalities, and motor weakness, becoming a challenge to diagnose and treat. Because entrapments can have multiple origins, a misinterpretation of anatomy during examination can lead to incorrect diagnosis and treatment. This review addresses understanding of the anatomy of fascia that can play an important role in this syndrome. There is a specific microenvironment around the nerve composed of connective tissues that include deep fascia, intermuscular septa, epineurium, and perineurium. The microenvironmental modifications can be translated into change in mobility with consequence decreasing of the independency of the nerve from the surrounding structures lading to entrapments and “internal stretch lesion.” The entrapments reported in this article reinforce the importance of fascia tissue in generating common symptoms that pose more difficult diagnostic challenges and may often be confused with more common clinical conditions. Clin. Anat. 32:883–890, 2019. © 2019 Wiley Periodicals, Inc.

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Surgical treatment of middle cluneal nerve entrapment neuropathy: technical note

Cited by 26 publications

References 22 publications

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Superior and Middle Cluneal Nerve Entrapment as a Cause of Low Back Pain

Fascial entrapment neuropathy

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