Nerve conduction studies or electromyography show extraspinal delay |
EMG findings suggestive of involvement of the inferior gluteal and peroneal branches of the sciatic nerve; case 3. Hughes et al. 1992 [49] |
Delayed responses when hip was held in FAIR position; two out of two cases. Nakamura 2003 [77] |
Imaging shows structural abnormality: |
Hypertrophy of PM; two cases out of two. Chen and Wan 1992 [21] |
Hypertrophy of PM. Jankiewicz et al. 1991 [53] |
T2 hypersignal at the level of PM and sciatic nerve. Jroundi et al. 2003 [55] |
Abnormal MRI neurography, suggesting entrapment at the level of the PM; 12 out of 14 cases. Lewis et al. 2006 [68] |
Operative findings of abnormalities of PM and/or of sciatic nerve and/or of sciatic nerve impingement |
Calcified PM. Beauchesne and Schutzer 1997 [5] |
Sciatic nerve impinged between PM and short external rotators; case number 1 out of 2. Chen and Wan 1992 [21] |
Tendinous band of PM indenting peroneal branch of the sciatic nerve; case number 3 out of 5. Hughes et al. 1992 [49] |
Impingement of the sciatic nerve by the PM; six out of seven cases. Foster 2002 [41] |
Impingement by the PM or by an associated fibrous band; all four cases that had surgery. Lewis et al. 2006 [68] |
Anomalous division of the sciatic nerve with its superior branch passing through the PM; case number 2 out of 4. Kouvalchouk 1996 [64] |
Bifurcated sciatic nerve with posterior cutaneous femoral nerve squeezed between the PM and the greater sciatic notch. Ozaki and Muro 1999 [78] |
Relief following surgery (long term follow up not reported) |
Pain increasing for 9 weeks after fall, relief following excision of calcified muscle. Beauchesne and Schutzer 1997 [5] |
Seven cases, average duration of pain of 2 years, immediate improvement after division of PM and return to work, and relieved of symptoms at 3–6 months. Foster 2002 [41] |
Three cases out of four had surgery. Lewis et al. 2006 [68] |
Prolonged post-operative relief (over one year) |
Both cases out of two. Chen and Wan 1992 [21] |
All four cases. Kouvalchouk et al. 1996 [64] |
Case 1. Nakamura 2003 [77] |
Relief following X-ray guided injection of local anaesthetic and corticosteroid into PM (long term follow up not reported) |
Pain for 7 months, free of pain at the 3-month follow-up after two injections. Bustamente [12] |