RT Book, Section
A1 Hankin, Mark H.
A1 Morse, Dennis E.
A1 Bennett-Clarke, Carol A.
SR Print(0)
ID 1145873623
T1 Lower Limb
T2 Clinical Anatomy: A Case Study Approach
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071628426
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1145873623
RD 2024/04/19
AB Patient  PresentationA  32-year-old  female  complains  of  a  nagging  tenderness  in  the  center  of  her  right  buttock  and  episodes  of  numbness  and  tingling  in  the  posterior  thigh  and  calf  regions  on  this  same  side.Relevant  Clinical  FindingsHistoryThe  patient  relates  that  she  stays  physically  fit  by  running  and  playing  hockey  on  a  local  semiprofessional  women's  team.  Until  recently,  she  participated  in  most  local  charity  runs.  The  presenting  complaint  has  greatly  reduced  her  training  and  participation.  She  believes  that  the  muscles  of  her  right  lower  limb  are  weaker  than  those  of  the  left.Physical  ExaminationThe  following  findings  were  noted  on  physical  examination:Dysesthesia  elicited  in  right  gluteal  region  with  deep  pressure  or  medial  rotation  and  adduction  of  hip.Dysesthesia  not  present  with  pressure  to  ischial  tuberosity  or  posterior  thigh.Deep  gluteal  pressure  caused  paresthesia  in  right  posterior  thigh.Crossed  straight-leg  raise  (SLR)  test  was  negative.Side-to-side  strength  comparison  of  gluteal  and  posterior  thigh  muscles  was  inconclusive.Imaging  StudiesMRI  of  the  lumbar  region  was  normal.Clinical  Problems  to  ConsiderChronic  hamstring  tendinitisHerniated  lumbar  intervertebral  (IV)  discPiriformis  syndrome