Unilateral complete ossification of sacrotuberous ligament: An unusual cause of pudendal nerve entrapment syndrome

dc.authorscopusid16240171900
dc.authorscopusid39762440600
dc.authorscopusid8855265500
dc.authorscopusid23993576300
dc.authorscopusid55505349600
dc.contributor.authorUruc, Vedat
dc.contributor.authorOzden, Raif
dc.contributor.authorKalacı, Aydıner
dc.contributor.authorDogramaci, Yunus
dc.contributor.authorBaşarslan, Seyit K.
dc.date.accessioned2024-09-19T15:48:41Z
dc.date.available2024-09-19T15:48:41Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractThe entrapment of pudendal nerve generally results with severe pain in the perineum. Although the relationship between sacrotuberous ligament (STL) and pudendal nerve entrapment (PNE) syndrome is well known, to the best of our knowledge, there has been no previously reported case of fully ossified STL, presenting with PNE syndrome. We present the case of a 61-year-old male with complaints of pain and burning on perineum. There was no history of trauma or other predisposing factors. The pain relief by local anesthetic blockage of the pudendal nerve supported the diagnosis of PNE syndrome. The plain radiograph revealed complete ossification of STL. Three-dimensional computed tomography clearly demonstrated the completely ossified STL. The ossified STL was totally excised with transgluteal incision. Ten days after surgery the patient's complaints were particularly regressed and 1 month after surgery the patient was completely healed. In conclusion, completely ossified STL is a very rare cause of PNE syndrome, but it must be taken into consideration in the differential diagnosis of perineal ache. Plain radiography, anamnesis, and physical examination are sufficient for diagnosis. Three-dimensional computed tomography is useful for preoperative planning. Surgical treatment with transgluteal approach is a good choice for treatment. © 2014 Wolters Kluwer Health, Inc.en_US
dc.identifier.doi10.1097/WNQ.0000000000000151
dc.identifier.endpage187en_US
dc.identifier.issn1050-6438
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84903854759en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage185en_US
dc.identifier.urihttps://doi.org/10.1097/WNQ.0000000000000151
dc.identifier.urihttps://hdl.handle.net/20.500.12483/15249
dc.identifier.volume26en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofNeurosurgery Quarterlyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectossificationen_US
dc.subjectpudendal nerve entrapmenten_US
dc.subjectsacrotuberous ligamenten_US
dc.titleUnilateral complete ossification of sacrotuberous ligament: An unusual cause of pudendal nerve entrapment syndromeen_US
dc.typeArticleen_US

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