![]() ![]() This showed that the previous muscular strain showed only a minor degree of hematoma absorption compared to the previous study (Figure (Figure2). A new MRI examination of our patient was requested for confirmation. Based on the above, the initial clinical impression was piriformis syndrome. The complete laboratory work-up did not reveal any indication for infection or coagulopathy. ![]() Standard hip, lumbar spine and pelvis radiographs were unremarkable. Her vascular clinical tests and the lumbar spine examination were normal. Passive hip internal rotation also reproduced pain in the proximal posterior thigh, with positive Freiberg and flexion, adduction, internal rotation (FADIR) tests. ![]() Right straight leg rising (SLR) reproduced symptoms at 30° and her Lasegue test was positive. There was tenderness upon palpation at the right ischial tuberosity associated with reduced muscular strength at right hip external rotators. There were no abnormalities on examination, such as soft tissue swelling, ecchymosis or erythema of the right gluteus and lower leg. Physical examination revealed an active young woman with healthy muscular development. Six months after the injury, she was referred to our tertiary health care hospital for consultation due to persistent sciatica. ![]()
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