| Title |
Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space
|
|---|---|
| Published in |
Skeletal Radiology, March 2015
|
| DOI | 10.1007/s00256-015-2124-6 |
| Pubmed ID | |
| Authors |
Moisés Fernández Hernando, Luis Cerezal, Luis Pérez-Carro, Faustino Abascal, Ana Canga |
| Abstract |
Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. Multiple pathologies have been incorporated in this all-included "piriformis syndrome," a term that has nothing to do with the presence of fibrous bands, obturator internus/gemellus syndrome, quadratus femoris/ischiofemoral pathology, hamstring conditions, gluteal disorders and orthopedic causes. The concept of fibrous bands playing a role in causing symptoms related to sciatic nerve mobility and entrapment represents a radical change in the current diagnosis of and therapeutic approach to DGS. The development of periarticular hip endoscopy has led to an understanding of the pathophysiological mechanisms underlying piriformis syndrome, which has supported its further classification. A broad spectrum of known pathologies may be located nonspecifically in the subgluteal space and can therefore also trigger DGS. These can be classified as traumatic, iatrogenic, inflammatory/infectious, vascular, gynecologic and tumors/pseudo-tumors. Because of the ever-increasing use of advanced magnetic resonance neurography (MRN) techniques and the excellent outcomes of the new endoscopic treatment, radiologists must be aware of the anatomy and pathologic conditions of this space. MR imaging is the diagnostic procedure of choice for assessing DGS and may substantially influence the management of these patients. The infiltration test not only has a high diagnostic but also a therapeutic value. This article describes the subgluteal space anatomy, reviews known and new etiologies of DGS, and assesses the role of the radiologist in the diagnosis, treatment and postoperative evaluation of sciatic nerve entrapments, with emphasis on MR imaging and endoscopic correlation. |
X Demographics
The data shown below were collected from the profiles of 83 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 24 | 29% |
| United Kingdom | 7 | 8% |
| Canada | 3 | 4% |
| Netherlands | 3 | 4% |
| Colombia | 2 | 2% |
| France | 2 | 2% |
| United States | 2 | 2% |
| Russia | 1 | 1% |
| Italy | 1 | 1% |
| Other | 8 | 10% |
| Unknown | 30 | 36% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 72 | 87% |
| Scientists | 6 | 7% |
| Practitioners (doctors, other healthcare professionals) | 5 | 6% |
Mendeley readers
The data shown below were compiled from readership statistics for 351 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | <1% |
| Switzerland | 1 | <1% |
| Norway | 1 | <1% |
| Netherlands | 1 | <1% |
| United Kingdom | 1 | <1% |
| Venezuela, Bolivarian Republic of | 1 | <1% |
| Unknown | 344 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 47 | 13% |
| Student > Bachelor | 40 | 11% |
| Student > Master | 38 | 11% |
| Researcher | 37 | 11% |
| Student > Postgraduate | 34 | 10% |
| Other | 82 | 23% |
| Unknown | 73 | 21% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 170 | 48% |
| Nursing and Health Professions | 57 | 16% |
| Sports and Recreations | 9 | 3% |
| Agricultural and Biological Sciences | 3 | <1% |
| Neuroscience | 3 | <1% |
| Other | 20 | 6% |
| Unknown | 89 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 55. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 February 2024.
All research outputs
#781,350
of 25,758,211 outputs
Outputs from Skeletal Radiology
#18
of 1,617 outputs
Outputs of similar age
#9,452
of 273,695 outputs
Outputs of similar age from Skeletal Radiology
#1
of 15 outputs
Altmetric has tracked 25,758,211 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,617 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.3. This one has done particularly well, scoring higher than 98% of its peers.
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We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.