A 72-year-old Male Patient with Right Buttock Pain

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A 72-year-old Male Patient with Right Buttock Pain Doreen Li, Ke-Vin Chang  Journal of Medical Ultrasound  Volume 25, Issue 1, Pages 58-60 (March 2017) DOI: 10.1016/j.jmu.2016.10.004 Copyright © 2016 Terms and Conditions

Figure 1 The piriformis muscle (gray arrows) lies beneath the gluteal maximus muscle. The piriformis muscle is more hypoechoic and thicker at the affected site than at the sound side. Gmax = gluteal maximus. Journal of Medical Ultrasound 2017 25, 58-60DOI: (10.1016/j.jmu.2016.10.004) Copyright © 2016 Terms and Conditions

Figure 2 (A) Longitudinal view of the piriformis muscle at the affected site. The piriformis muscle, which lies above the ilium and between the greater trochanter and sacrum, is swollen with disorganized muscle fibers. (B) Longitudinal view of the piriformis muscle at the sound site. The piriformis muscle fiber has a normal fibrillary pattern. FN = femoral neck; Gmax = gluteus maximus; GrT = greater trochanter; Piri = piriformis muscle. Journal of Medical Ultrasound 2017 25, 58-60DOI: (10.1016/j.jmu.2016.10.004) Copyright © 2016 Terms and Conditions

Figure 3 (A) Longitudinal view of the sciatic nerve at the affected site. The probe is placed at an oblique angle of approximately 45° above the ilium. The sciatic nerve lies deep beneath the piriformis muscle. The sciatic nerve at the painful site is swollen and hypoechoic. (B) Longitudinal view of the sciatic nerve at the sound site. Gmax = gluteus maximus; Piri = piriformis muscle; Scia n = sciatic nerve. Journal of Medical Ultrasound 2017 25, 58-60DOI: (10.1016/j.jmu.2016.10.004) Copyright © 2016 Terms and Conditions