A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report
Extra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen infe...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/5/1080 |
| _version_ | 1797500466991464448 |
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| author | Co Yih Siow Kuan-Lin Chen |
| author_facet | Co Yih Siow Kuan-Lin Chen |
| author_sort | Co Yih Siow |
| collection | DOAJ |
| description | Extra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen inferior gemellus muscle with hematoma initially diagnosed with ultrasonography and later confirmed with magnetic resonance imaging (MRI) scan. Ultrasound revealed a swollen muscle with hematoma between the ischial tuberosity and the medial surface of the greater trochanter of the femur. MRI scan showed edematous change with an increased enhancement of the right inferior gemellus muscle. Ultrasound could be used to diagnose inferior gemellus pathology, but the muscle is easy to miss. Therefore, MRI could be preferred for conditions that impact deep or large areas in confirming inferior gemellus pathology. |
| first_indexed | 2024-03-10T03:03:17Z |
| format | Article |
| id | doaj.art-d2ca325dc6344b409c54224def680d11 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T03:03:17Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-d2ca325dc6344b409c54224def680d112023-11-23T10:39:03ZengMDPI AGDiagnostics2075-44182022-04-01125108010.3390/diagnostics12051080A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case ReportCo Yih Siow0Kuan-Lin Chen1Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, Changhua 500209, TaiwanDepartment of Physical Medicine and Rehabilitation, Yuanrung Hospital Yuansheng Branch, Changhua County 510007, TaiwanExtra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen inferior gemellus muscle with hematoma initially diagnosed with ultrasonography and later confirmed with magnetic resonance imaging (MRI) scan. Ultrasound revealed a swollen muscle with hematoma between the ischial tuberosity and the medial surface of the greater trochanter of the femur. MRI scan showed edematous change with an increased enhancement of the right inferior gemellus muscle. Ultrasound could be used to diagnose inferior gemellus pathology, but the muscle is easy to miss. Therefore, MRI could be preferred for conditions that impact deep or large areas in confirming inferior gemellus pathology.https://www.mdpi.com/2075-4418/12/5/1080inferior gemellussciaticaultrasoundmagnetic resonance imaging |
| spellingShingle | Co Yih Siow Kuan-Lin Chen A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report Diagnostics inferior gemellus sciatica ultrasound magnetic resonance imaging |
| title | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
| title_full | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
| title_fullStr | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
| title_full_unstemmed | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
| title_short | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
| title_sort | swollen inferior gemellus muscle with hematoma mimics sciatica a case report |
| topic | inferior gemellus sciatica ultrasound magnetic resonance imaging |
| url | https://www.mdpi.com/2075-4418/12/5/1080 |
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