piriformissyndromet (LH Indholdsside)

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      <HtmlField Name="PageContent"><![CDATA[<h2>Diagnose</h2>
<h3>Diagnostiske kriterier</h3>
<ul>
    <li>Diagnosen piriformis syndrom er usikker. Piriformis syndrom b&oslash;r v&aelig;re en eksklusionsdiagnose, hvor andre &aring;rsager til &eacute;nsidige, udstr&aring;lende bensmerter er udelukket</li>
</ul>
<h3>Sygehistorie</h3>
<ul>
    <li>Smerte fra s&aelig;demuskulatur og eventuel str&aring;lende ned i ben</li>
    <li>Smerte forv&aelig;rres i siddende stilling</li>
</ul>
<h3>Kliniske fund</h3>
<ul>
    <li>Eksklusionsdiagnose - udeluk andre mulige forklaringer<a href="EditorPage.aspx?da=core&amp;id=%7BB6A02B03-C1E8-4B02-8FF1-E4B58AB490AF%7D&amp;ed=FIELD11948383614&amp;vs&amp;la=da&amp;fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&amp;so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&amp;di=0&amp;hdl=H11948384154&amp;us=sitecore%5Canvi&amp;mo&amp;pe=0&amp;fbd=1" data-type="journal-reference" data-value="Silver JK, Leadbetter WB, Piriformis syndrome: assessment of current practice and literature review. Orthopedics 1998;21(10): 1133-5" data-value-piped="Silver JK, Leadbetter WB|Piriformis syndrome: assessment of current practice and literature review|Orthopedics|1998|21(10)|1133-5" data-url="reference-link" title="Silver JK, Leadbetter WB, Piriformis syndrome: assessment of current practice and literature review. Orthopedics 1998;21(10): 1133-5">1</a></li>
    <li>&Oslash;mhed i glutealregionen</li>
    <li>Smerteforv&aelig;rring ved man&oslash;vre, som &oslash;ger sp&aelig;nding i piriformis muskulatur (der findes ikke data for specificitet og sensitivitet af diagnostiske tests):
    <ul>
        <li>Freiberg man&oslash;vre: kraftfuld indadrotation af udstrakte hofte og l&aring;rben</li>
        <li>Pace man&oslash;vre: Abduktion af hofte i siddende stilling</li>
        <li>Beatty man&oslash;vre: Abduktion af flekteret hofte i liggende stilling</li>
    </ul>
    </li>
</ul>
<h3>Supplerende unders&oslash;gelser i almen praksis</h3>
<ul>
    <li>Evt. med differentialdiagnostisk form&aring;l</li>
</ul>
<h3>Andre unders&oslash;gelser hos specialist</h3>
<ul>
    <li>Ingen billeddiagnostiske test kan entydigt give diagnosen</li>
</ul>
<h3>Differentialdiagnoser</h3>
<ul>
    <li><a href="~/link.aspx?_id=74E03C59199940A0B4E188E5C2758423&amp;_z=z">Lave rygsmerter</a></li>
    <li><a href="~/link.aspx?_id=BA77007FD5454D78BF5B5701D82C0135&amp;_z=z">Lumbal rodaffektion</a></li>
    <li><a href="~/link.aspx?_id=6AB4877EB60C4AD09C3FAC771904179E&amp;_z=z">Spondylolyse og/eller spondylolistese</a></li>
    <li>Andre nerveindeklemningssyndromer i hofteomr&aring;det</li>
    <li><a href="~/link.aspx?_id=A096C4837D1A4608A3E4BDE4A042717D&amp;_z=z">Spinalstenose</a></li>
    <li>Tumorer og cyster i b&aelig;kkenet</li>
    <li>Trokanter bursitis</li>
    <li>Endometriose</li>
    <li>Aneurismer, AV-malformationer</li>
</ul>
<h2>Behandling</h2>
<ul>
    <li>Der er rapporteret mange forskellige behandlinger. Effekten af behandlinger er usikker, da diagnosen piriformis syndrom er usikker</li>
</ul>
<h3>Generelt om behandlingen</h3>
<ul>
    <li>Afkr&aelig;fte underliggende alvorlig sygdom</li>
</ul>
<h3>H&aring;ndtering i almen praksis</h3>
<ul>
    <li>Grundig klinisk unders&oslash;gelse</li>
    <li>Patientinformation</li>
</ul>
<h3>R&aring;d til patienten</h3>
<ul>
    <li>Ufarlig tilstand</li>
</ul>
<h3>Medicinsk behandling</h3>
<ul>
    <li>Eventuelt <a href="https://pro.medicin.dk/Laegemiddelgrupper/Grupper/226500">svag smertestillende medicin</a></li>
</ul>
<h3>Kirurgi</h3>
<ul>
    <li>Aldrig</li>
</ul>
<h3>Forebyggende behandling</h3>
<ul>
    <li>Ingen</li>
</ul>
<h2>Henvisning</h2>
<ul>
    <li>Patienter med piriformissyndrom kan henvises til fysioterapi</li>
</ul>
<h2>Opf&oslash;lgning</h2>
<ul>
    <li>Ved manglende fremgang eller ved forv&aelig;rring af tilstand, da fornyet klinisk vurdering</li>
</ul>
<h2>Sygdomsforl&oslash;b, komplikationer og prognose</h2>
<h3>Sygdomsforl&oslash;b</h3>
<ul>
    <li>Kan v&aelig;re l&aelig;ngerevarende</li>
</ul>
<h3>Komplikationer</h3>
<ul>
    <li>Ingen</li>
</ul>
<h3>Prognose</h3>
<ul>
    <li>Er som regel god</li>
</ul>
<h2>Baggrundsoplysninger<a href=" " data-type="journal-reference" data-value="Hopayian K, Song F, Riera R, Sambandan S, The clinical features of the piriformis syndrome: a systematic review. Eur Spine J 2010;19: 2095-109" data-value-piped="Hopayian K, Song F, Riera R, Sambandan S|The clinical features of the piriformis syndrome: a systematic review.|Eur Spine J|2010|19|2095-109|20596735" data-url="reference-link" data-pubmedid="20596735" title="Hopayian K, Song F, Riera R, Sambandan S, The clinical features of the piriformis syndrome: a systematic review. Eur Spine J 2010;19: 2095-109">2</a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Halpin RJ, Ganju A, Piriformis syndrome: a real pain in the buttock?. Neurosurgery 2009;65: A197-202" data-value-piped="Halpin RJ, Ganju A|Piriformis syndrome: a real pain in the buttock?|Neurosurgery|2009|65|A197-202|19927068" data-url="reference-link" data-pubmedid="19927068" title="Halpin RJ, Ganju A, Piriformis syndrome: a real pain in the buttock?. Neurosurgery 2009;65: A197-202">3</a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Bartret AL, Beaulieu CF, Lutz AM, Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome. Eur Radiol 2018;: " data-value-piped="Bartret AL, Beaulieu CF, Lutz AM|Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome.|Eur Radiol|2018|||29713768" data-url="reference-link" data-pubmedid="29713768" title="Bartret AL, Beaulieu CF, Lutz AM, Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome. Eur Radiol 2018;: ">4</a></h2>
<h3>Definition</h3>
<ul>
    <li>Piriformis syndrom er en meget omdiskuteret diagnose</li>
    <li>Der er ingen &eacute;ntydige diagnostiske tests</li>
</ul>
<h3>Forekomst</h3>
<ul>
    <li>Ukendt, da diagnosen er omdiskuteret</li>
</ul>
<ul>
</ul>
<h3>&AElig;tiologi og patogenese</h3>
<ul>
    <li>&Aring;rsag
    <ul>
        <li>Der er ingen generel konsensus om &aelig;tiologi og patofysiologi<a href=" " data-type="journal-reference" data-value="Parziale JR, Hudgins TH, Fishman LM, The piriformis syndrome. Am J Orthop 1996;25(12): 819-23" data-value-piped="Parziale JR, Hudgins TH, Fishman LM|The piriformis syndrome|Am J Orthop|1996|25(12)|819-23" data-url="reference-link" title="Parziale JR, Hudgins TH, Fishman LM, The piriformis syndrome. Am J Orthop 1996;25(12): 819-23">5</a></li>
        <li>Der er ikke p&aring;vist sammenh&aelig;ng mellem variationer i nervus ischiadicus og piriformis syndrom<a href=" " data-type="journal-reference" data-value="Bartret AL, Beaulieu CF, Lutz AM, Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome. Eur Radiol 2018;: " data-value-piped="Bartret AL, Beaulieu CF, Lutz AM|Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome.|Eur Radiol|2018|||29713768" data-url="reference-link" data-pubmedid="29713768" title="Bartret AL, Beaulieu CF, Lutz AM, Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome. Eur Radiol 2018;: ">4</a></li>
    </ul>
    </li>
</ul>
<h3>Disponerende faktorer</h3>
<ul>
    <li>Ukendt</li>
</ul>
<h3>ICPC-2</h3>
<p>[ICPC]</p>
<h3>ICD-10/SKS-koder</h3>
<p>[ICD10]</p>
<h2>Patientinformation</h2>
<h3>Hvad findes der af skriftlig patientinformation</h3>
<ul>
    <li><a href="~/link.aspx?_id=2462952F28FB4DB880A42185C582762E&amp;_z=z">Piriformissyndromet</a></li>
</ul>
<h2>Link til vejledninger</h2>
<ul>
    <li>Forl&oslash;bsbeskrivelser og pakkeforl&oslash;b [ICPC]&nbsp;</li>
</ul>]]></HtmlField>
      <HtmlField Name="Resume"><![CDATA[<h2>Resum&eacute;</h2>
<h3>Diagnose</h3>
<ul>
    <li>Usikker diagnose</li>
    <li>Piriformis syndrom b&oslash;r v&aelig;re en eksklusionsdiagnose, hvor andre &aring;rsager til &eacute;nsidige, udstr&aring;lende bensmerter er udelukket</li>
</ul>
<h3>Behandling</h3>
<ul>
    <li>Svag smertestillende medicin</li>
    <li>Udsp&aelig;ndings&oslash;velser</li>
    <li>Genoptr&aelig;ning</li>
</ul>
<h3>Henvisning</h3>
<ul>
    <li>Skal ikke henvises</li>
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