Skip to main content
SpringerLink
Log in

Sonstige Kompressionssyndrome der Leistenregion und unteren Extremität

  • Chapter
  • First Online:
Nervenkompressionssyndrome

  • 261 Accesses

Zusammenfassung

Echte Kompressionen der Nerven in der Leistenregion sind extrem selten. Meist handelt es sich um funktionelle Beschwerdebilder bzw. Operationsfolgen. Aus eigener Erfahrung, aber auch aus der Literatur, sind in dieser Region Kompressionssyndrome des N. ilioinguinalis, N. obturatorius und N. saphenus bekannt. Ein ebenfalls seltenes Kompressionssyndrom stellt die Pudendusneuralgie dar. Diese Neuralgie wird in den meisten Fällen nicht oder sehr spät erkannt, sodass die Patienten lange Zeit nicht adäquat behandelt werden können.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Beaton LE, Anson BJ (1938) The sciatic nerve and the piriformis muscle: their interrelations as possible cause of coccycodynia. J Bone Joint Surg 20:686

    Google Scholar 

  • Benini A (1992) Die Ilioinguinalis- und Genitofemoralisneuralgie (Ursachen, Klinik, Therapie). Schweiz Rundschau Med 81:1114–1120

    CAS  Google Scholar 

  • Bischoff JM, Koscielniak-Nielsen ZJ, Kehlet H, Werner MU (2012) Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial. Anesth Analg 114(6):1323–1329

    Article  PubMed  Google Scholar 

  • Carro LP, Hernando MF, Cerezal L et al (2016) Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release. Muscles Ligaments Tendons J 6(3):384–396

    Article  PubMed  PubMed Central  Google Scholar 

  • Elkins N, Hunt J, Scott KM (2017) Neurogenic pelvic pain. Phys Med Rehabil Clin N Am 28(3):551–569

    Article  PubMed  Google Scholar 

  • Hahn L (2011) Treatment of ilioinguinal nerve entrapment – a randomized controlled trial. Acta Obstet Gynecol Scand 90(9):955–960

    Article  PubMed  Google Scholar 

  • Hawksworth DJ, Dellon AL, Herati AS (2020) Ilioinguinal and iliohypogastric neuralgia as an etiology of bladder pain syndrome. Urol Case Rep. 28:101056

    Article  PubMed  Google Scholar 

  • Jeong HS, Lee GY, Lee EG et al (2015) Long-term assessment of clinical outcomes of ultrasound-guided steroid injections in patients with piriformis syndrome. Ultrasonography 34(3):206–210

    Article  PubMed  PubMed Central  Google Scholar 

  • Ji F, Zhou S, Li C, Zhang Y, Xu H (2021) Therapeutic efficacy of ultrasound-guided high-voltage long-duration pulsed radiofrequency for pudendal neuralgia. Hindawi Neural Plasticity 20(9961145):8. https://doi.org/10.1155/2021/9961145

  • Kopell HP, Thompson WA, Postel AH (1962) Entrapment neuropathy of the ilioinguinal nerve. N Engl J Med 266:16–19

    Article  PubMed  CAS  Google Scholar 

  • Krahenbuhl L, Striffeler H, Baer HU, Buchler MW (1997) Retroperitoneal endoscopic neurectomy for nerve entrapment after hernia repair. Brit J Surg 84:216–219

    PubMed  CAS  Google Scholar 

  • Krijnen EA, Schweitzer KJ, van Wijck AJM, Withagen KIJ (2021) Pulsed radiofrequency of pudendal nerve for treatment in patients with pudendal neuralgia. A case series with long-term follow-up. Pain Pract 21:703–707

    Article  PubMed  PubMed Central  Google Scholar 

  • Masala S, Crusco S, Meschini A, Taglieri A, Calabria E, Simonetti G (2012) Piriformis syndrome: long-term follow-up in patients treated with percutaneous injection of anesthetic and corticosteroid under CT guidance. Cardiovasc Intervent Radiol 35(2):375–382

    Article  PubMed  Google Scholar 

  • Martin R, Martin HD, Kivian BR (2017) Nerve entrapment in the hip region: current concepts review. Int J Sports Phys Ther 12(7):1163–1173

    Article  PubMed  PubMed Central  Google Scholar 

  • Mol FMU, Maatman RC, De Joode LEGH et al (2021) Characteristics of 1116 consecutive patients diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES). Ann Surg 273(2):373–378

    Article  PubMed  Google Scholar 

  • Nagpal AS, Moody EL (2017) Interventional management for pelvic pain. Phys Med Rehabil Clin N Am 28(3):621–646

    Article  PubMed  Google Scholar 

  • Ploteau S, Perrouin-Verbe MA, Labat JJ, Riant T, Levesque A, Robert R (2017) Anatomical variants of the pudendal nerve observed during a transgluteal surgical approach in a population of patients with pudendal neuralgia. Pain Physician 20(1):E137–E143

    Article  PubMed  Google Scholar 

  • Robert R, Labat JJ, Riant T, Khalfallah M, Hamel O (2007) Neurosurgical treatment of perineal neuralgias. In: Picklard JD, Akalan N, DiRocco C, Dolenc VV, Lobo Antunes J, Mooij JJA, Schramm J, Sindou M (Hrsg) Advances and technical standards in neurosurgery. Springer, Wien S, S 41–59

    Chapter  Google Scholar 

  • Robinson DR (1947) Piriformis syndrome in relation to sciatic pain. Am J Surg 73:355–358

    Article  PubMed  CAS  Google Scholar 

  • Santomato A, Micello MF, Valeno G et al (2015) Ultrasound-guided injection of botulinum toxin type A for piriformis muscle syndrome: a case report and review of the literature. Toxins 7(8):3045–3056

    Article  Google Scholar 

  • Sommer F, Konig D, Graft C et al (2001) Impotence and genital numbness in cyclists. Int J Sports Med 22:410–413

    Article  PubMed  CAS  Google Scholar 

  • Vij N, Kiernan H, Bisht R et al (2021) Surgical and non-surgical treatment options for piriformis syndrome: a literature review. Anesth Pain Med 11(1):e112825

    Article  PubMed  PubMed Central  Google Scholar 

  • Wu YY, Guo XY, Chen K et al (2020) Feasibility and reliability of an ultrasound examination to diagnose piriformis syndrome. World Neurosurg. 134:e1085–e1092

    Article  PubMed  Google Scholar 

  • Zhang W, Luo F, Sun H et al (2019) Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome. Muscle Nerve 59(4):411–416

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Günzburg, Deutschland

    Gregor Antoniadis

  2. Günzburg, Deutschland

    Maria Teresa Pedro

Authors
  1. Gregor Antoniadis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Maria Teresa Pedro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gregor Antoniadis .

Editor information

Editors and Affiliations

  1. (emeritus) Schriesheim, Baden-Württemberg, Deutschland

    Hans Assmus

  2. Ehemaliger Leiter der Sektion “Periphere Nervenchirurgie” der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Deutschland

    Gregor Antoniadis

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Antoniadis, G., Pedro, M. (2023). Sonstige Kompressionssyndrome der Leistenregion und unteren Extremität. In: Assmus, H., Antoniadis, G. (eds) Nervenkompressionssyndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66107-9_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-66107-9_14

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-66106-2

  • Online ISBN: 978-3-662-66107-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation