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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2009 March;45(1):69-71

language: English

A germane link between piriformis muscle atrophy and lumbar disc herniation

Malas F. Ü. 1, Özçakar L. 1, Kerimoõlu Ü. 2, Yörübulut M. 3

1 Department of Physical Medicine and Rehabilitation Hacettepe University Medical School Ankara, Turkey
2 Primer Imaging Center Ankara, Turkey
3 Department of Radiology Hacettepe University Medical School Ankara, Turkey


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This article reports the case of a a 29-year-old girl with a right-sided sciatica. Magnetic resonance imaging of the lumbar vertebrae and the pelvic region detected a right L5-S paracentral disc herniation with descending S1 nerve root compression and atrophy in the right piriformis muscle. Magnetic resonance images of two other subjects –one with a known diagnosis of lumbosacral nerve root compression and one healthy individual without any low back pathology were also used in comparison. To the best knowledge of the authors, piriformis muscle atrophy associated with lumbar disc herniation is discussed for the first time in the Literature.

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