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Case Reports
. 2017 Nov 24;63(4):355-356.
doi: 10.5606/tftrd.2017.684. eCollection 2017 Dec.

A rare cause of non-discogenic sciatica; musculus gemellus inferior: A case report

Arzu Atıcı  1 , Duygu Geler Külcü  2 , Pınar Akpınar  1 , Deniz Akay Urgun  3
Affiliations
Case Reports

A rare cause of non-discogenic sciatica; musculus gemellus inferior: A case report

Arzu Atıcı et al. Turk J Phys Med Rehabil. .

Abstract

Herein, we report a 51-year-old female with complaint of right sciatica. According to physical examination, the etiology was suspected as piriformis syndrome. Therefore, piriformis injection was administered and piriformis stretching exercises were recommended.However the complains did not resolve. Magnetic resonance imaging showed hyperintensity of the right inferior musculus gemellus. One of the main causes of extra-spinal sciatica is piriformis syndrome. However, other pelvic muscles anatomically near the sciatic nerve are often overlooked. Magnetic resonance imaging is useful in the differential diagnosis from intractable piriformis syndrome, particularly in cases resistant to treatment.

Keywords: Magnetic resonance imaging; musculus gemellus inferior; non-discogenic sciatica; piriformis syndrome.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. Axial T2-weighted magnetic resonance imaging of the inferior abdomen showing hyperintensity of the right inferior musculus gemellus.
See this image and copyright information in PMC

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