Persistent sciatica induced by quadratus femoris muscle tear and treated by surgical decompression: a case report
- Resource Type
- Authors
- George N. Tzanakakis; Apostolos H. Karantanas; Dritan Pasku; George Datseris; Pavlos Katonis; Artan Bano
- Source
- Journal of Medical Case Reports
Journal of Medical Case Reports, Vol 4, Iss 1, p 236 (2010)
- Subject
- musculoskeletal diseases
Medicine(all)
Sciatica
medicine.medical_specialty
Magnetic Resonance Imaging Scan
business.industry
lcsh:R
lcsh:Medicine
Soft tissue
Case Report
General Medicine
Surgery
Surgical decompression
medicine
medicine.symptom
Differential diagnosis
Presentation (obstetrics)
business
Quadratus femoris muscle
- Language
- ISSN
- 1752-1947
Introduction Quadratus femoris tear is an uncommon injury, which is only rarely reported in the literature. In the majority of cases the correct diagnosis is delayed due to non-specific symptoms and signs. A magnetic resonance imaging scan is crucial in the differential diagnosis since injuries to contiguous soft tissues may present with similar symptoms. Presentation with sciatica is not reported in the few cases existing in the English literature and the reported treatment has always been conservative. Case presentation We report here on a case of quadratus femoris tear in a 22-year-old Greek woman who presented with persistent sciatica. She was unresponsive to conservative measures and so was treated with surgical decompression. Conclusion The correct diagnosis of quadratus muscle tear is a challenge for physicians. The treatment is usually conservative, but in cases of persistent sciatica surgical decompression is an alternative option.