Moises Hernando MD, Presenter: Nothing to Disclose

Luis Cerezal MD, Abstract Co-Author: Nothing to Disclose

Faustino Abascal, Abstract Co-Author: Nothing to Disclose

Luis Perez-Carro, Abstract Co-Author: Nothing to Disclose

Rosa Dominguez-Oronoz MD, Abstract Co-Author: Nothing to Disclose

Antonio Saiz Ayala, Abstract Co-Author: Nothing to Disclose

Elena Santamarta MD, Abstract Co-Author: Nothing to Disclose

Ana Canga MD, Abstract Co-Author: Nothing to Disclose

To describe the anatomy of the subgluteal space To review known and new etiologies of deep gluteal syndrome To assess the role of radiologist in the diagnosis, treatment and postoperative evaluation in the sciatic nerve entrapments  

1.Anatomy 2.Signs and symptoms 3.Etiology: traumatic, iatrogenic, inflammatory/infectious, vascular, intrapelvic pathology, tumors/pseudotumors, musculotendinous entrapments (fibrous bands, obturator internus/gemellus sd., gluteal compartment sd., contracture of gluteus maximus, quadratus femoris and ischiofemoral pathology, hamstring, piriformis sd.)

Deep gluteal syndrome (DGS) is an underdiagnosis entity characterized by pain/dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain, due to a nondiscogenic sciatic nerve entrapments in the subgluteal space. Its etiology encompasses a broad spectrum of musculoskeletal and extraskeletal pathology. Because of the ever-increasing use of advanced MRI techniques and the excellent outcomes of the endoscopic treatment, radiologists must be aware the anatomy and pathologic conditions of this space. MRI is the diagnostic procedure of choice for assessing the DGS and may substantially influence the management of these patients. This presentation makes a literature review and presents our experience in DGS treated arthroscopically.

Hernando, M, Cerezal, L, Abascal, F, Perez-Carro, L, Dominguez-Oronoz, R, Saiz Ayala, A, Santamarta, E, Canga, A, Deep Gluteal Syndrome: Anatomy, Imaging and Management of the Sciatic Nerve Entrapments in the Deep Subgluteal Space.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13013140.html