Arthroscopic Piriformis release

Various techniques for piriformis muscle release have been published previously. However, it is imperative we continue to improve on existing techniques as well as develop new ones that may further optimize outcomes. Therefore, we aimed to describe an endoscopic technique for the release of the piriformis muscle in those with symptoms of sciatic nerve compression. Using the posterolateral portal, we are able to perform a complete release of the piriformis from the greater trochanter and the piriformis fossa with care to protect the external rotators and the sciatic nerve. It is our belief that this technique can be easily replicated by practitioners who read this technical note.

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Affiliations
Chilton Medical Center Hackettstown  Medical Center Mountainside  Medical Center St. Joseph's Regional Medical Center Saint Barnabas Medical Center Morristown Medical Center Wayne Surgical Center Elite Surgical Center