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Perisciatic Ultrasound‐Guided Infiltration for Treatment of Deep Gluteal Syndrome
Authors:Julio Rosales MD  Nicolás García MD  Claudio Rafols MD  Marcelo Pérez MD  Marco A. Verdugo MD
Affiliation:1. Interventional Radiology Department, Clinica Meds, Santiago, Chile;2. Academic Unit, Clinica Meds, Santiago, Chile;3. Orthopedic and Trauma and Department, Clinica Meds, Santiago, Chile
Abstract:The objective of this study was to describe a perisciatic ultrasound‐guided infiltration technique for treatment of deep gluteal syndrome and to report its preliminary clinical results. A mixture of saline (20 mL), a local anesthetic (4 mL), and a corticosteroid solution (1 mL) was infiltrated in the perisciatic region between the gluteus maximus and pelvitrochanteric muscles. Relative pain relief was achieved in 73.7% of the patients, with average preprocedural and postprocedural visual analog scale scores of 8.3 and 2.8, respectively. Fifty percent of patients reported recurrence of discomfort, and the average duration of the therapeutic effect in these patients was 5.3 weeks.
Keywords:interventional radiology  musculoskeletal ultrasound  piriformis syndrome  sciatic nerve  sciatica  ultrasound-guided infiltration
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