Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 7/2018

01-07-2018 | Review Article

Post-operative extra-spinal etiologies of sciatic nerve impingement

Authors: Jonathan A. Flug, Alissa Burge, Darius Melisaratos, Theodore T. Miller, John A. Carrino

Published in: Skeletal Radiology | Issue 7/2018

Login to get access

Abstract

Sciatica is a highly prevalent cause of morbidity, commonly resulting from intra-spinal pathological processes. Many cases can have extra-spinal etiologies and can be clinically challenging. Certain scenarios should suggest an extra-spinal etiology, particularly total and revision hip arthroplasty, surgical hip dislocation, hip arthroscopy, and surgery in the lithotomy position. We review the post-operative clinical scenarios where sciatic neuropathy may occur, along with the pertinent imaging findings.
Literature
1.
Van Tulder M, Peul W, Koes B. Sciatica: what the rheumatologist needs to know. Nat Rev Rheumatol. 2010;6(3):139–45.CrossRefPubMed
2.
Konstantinou K, Dunn KM. Sciatica: review of epidemiological studies and prevalence estimates. Spine. 2008;33(22):2464–672.CrossRefPubMed
3.
4.
Childers MK, Wilson DJ, Gnatz SM, Conway RR, Sherman AK. Botulinum toxin type a use in piriformis muscle syndrome: a pilot study. Am J Phys Med Rehabil. 2002;81(10):751–9.CrossRefPubMed
5.
Natsis K, Totlis T, Konstantinidis GA, Paraskevas G, Piagkou M, Koebke J. Anatomical variations between the sciatic nerve and the piriformis muscle: a contribution to surgical anatomy in piriformis syndrome. Surg Radiologic Anatomy. 2014;36(3):273–80.CrossRef
6.
Soldatos T, Andreisek G, Thawait GK, Guggenberger R, Williams EH, Carrino JA, et al. High-resolution 3-T MR neurography of the lumbosacral plexus. Radiographics. 2013;33(4):967–87.CrossRefPubMed
7.
Pokorny D, Jahoda D, Veigl D, Pinskerova V, Sosna A. Topographic variations of the relationship of the sciatic nerve and the piriformis muscle and its relevance to palsy after total hip arthroplasty. Surg Radiol Anat. 2006;28(1):88–91.CrossRefPubMed
8.
Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA. Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Joint Surg Am. 2007;89(3):526–33.CrossRefPubMed
9.
10.
11.
Pellicci PM, Potter HG, Foo LF, Boettner F. MRI shows biologic restoration of posterior soft tissue repairs after THA. Clin Orthop Relat Res. 2009;467(4):940–5.CrossRefPubMed
12.
Matta JM, Ferguson TA. The anterior approach for hip replacement. Orthopedics. 2005;28(9):927–8.PubMed
13.
Yi C, Agudelo JF, Dayton MR, Morgan SJ. Early complications of anterior supine intermuscular total hip arthroplasty. Orthopedics. 2013;36(3):e276–81.CrossRefPubMed
14.
Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am. 2005;87(12):2619–25.CrossRefPubMed
15.
Yacoubian SV, Sah AP, Estok DM II. Incidence of sciatic nerve palsy after revision hip arthroplasty through a posterior approach. J Arthroplast. 2010;25(1):31–4.CrossRef
16.
Nozawa M, Matsuda K, Maezawa K, Kim S, Maeda K, Kaneko K. Delayed sciatic nerve injury by posterior flange of reinforcement ring after acetabular revision surgery. J Arthroplast. 2013;28(1):197.CrossRef
17.
Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U. Surgical dislocation of the adult hip: a technique with full access to the femoral head and the acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83(8):1119–24.CrossRefPubMed
18.
Sink EL, Beaule PE, Sucato D, Kim YJ, Millis MB, Dayton M, et al. Multicenter study of complications following surgical dislocation of the hip. J Bone Joint Surg Am. 2011;93(12):1132–6.CrossRefPubMed
19.
20.
Byrd JWT. Surgical techniques: hip arthroscopy. J Am Acad of Orthop Surg. 2006;14(7):433–44.CrossRef
21.
Barnett JC, Hurd WM, Rogers RM Jr, Williams NL, Shapiro SA. Laparoscopic positioning and nerve injuries. J Minim Invasive Gynecol. 2007;14(5):664–72.CrossRefPubMed
22.
Warner MA, Warner KO, Harper CM, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology. 2000;93(4):938–42.CrossRefPubMed
23.
Velnar T, Bunc G, Ravnik J, Vorsic M. May extraspinal lumbar compression mimic lumbar pain and sciatica? A presentation of unusual cases. Global Spine J. 2012;2(1):13.
24.
Yuen EC, Olney RK, So YT. Sciatic neuropathy: clinical and prognostic features in 73 patients. Neurology. 1994;44(9):1669–74.CrossRefPubMed
25.
Feinberg J, Sethi S. Sciatic neuropathy: case report and discussion of the literature on postoperative sciatic neuropathy and sciatic nerve tumors. HSS J. 2006;2(2):181–7.CrossRefPubMedPubMedCentral
Metadata
Title
Post-operative extra-spinal etiologies of sciatic nerve impingement
Authors
Jonathan A. Flug
Alissa Burge
Darius Melisaratos
Theodore T. Miller
John A. Carrino
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 7/2018
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-2879-7

Other articles of this Issue 7/2018

Skeletal Radiology 7/2018 Go to the issue

Browser's Notes

Browser’s Notes

Technical Report

MRI sport-specific pulley imaging

Case Report

Epiphyseal hyperplasia caused by an ectopic ossification center of the distal tibia: presentation of a pediatric case with 13 years of radiological surveillance

Perspective

Incorporation of musculoskeletal ultrasound training into the radiology core curriculum

Case Report

Superficial acral fibromyxoma: a case report with radiological review

Scientific Article

Hand MRI and the Greulich-Pyle atlas in skeletal age estimation in adolescents