1. Understand anatomy of the sciatic nerve and greater sciatic foramen
2. Identify the anatomic causes in primary piriformis syndrome
3. Recognize various secondary causes of piriformis syndrome
1. Pre-test questions
2. Anatomy Review
-Sciatic nerve anatomy
-Greater sciatic foramen anatomy
-Variations in the exit of the sciatic nerve out of the pelvis
3. Clinical features of piriformis syndrome
4. Primary causes of piriformis syndrome
-Piriformis muscle hypertrophy
-Intramuscular nerve roots
-Accessory muscle slips
-Anomalous origin of piriformis muscle
5. Secondary causes of piriformis syndrome
-Myositis ossificans
-Sacral schwannoma
-Abscess from adjacent osteomyelitis
-Soft tissue neoplasms
-Gluteal hematoma
-Post traumatic scarring
6. Answers and review of pre-test questions
Kwak, E,
Kazam, J,
Wong, T,
Piriformis Syndrome: What Are We Imaging? A Review of Primary and Secondary Causes. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14003896.html