{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:50:14Z","timestamp":1786978214285,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T00:00:00Z","timestamp":1430092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The ischial tuberosity, referred to as the \u201csit bone\u201d by patients with pain, is surrounded by critical nerves. This research relates, for the first time, the involvement of the posterior femoral cutaneous nerve (PFCN), including its perineal and inferior cluneal branches to the symptom of \u201csitting pain.\u201d An experience with PFCN resection for treatment of pain with sitting is reported.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Patients and methods<\/jats:italic>\n                      : The computer records were searched from 2010 through August of 2013, identifying 17 patients who had surgery on PFCN. Fifteen of these 17 were women. Mean age of 17 patients was 54.6 years (range 30\u201374 years). Each patient had pain with sitting, and spent much of the day standing or lying down. Each had symptoms involving posterior thigh and buttock. Three patients had bilateral problems. Each of 17 patients in this series had resection of PFCN through an incision in the gluteal crease. Resection included inferior cluneal branches and perineal branch.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 17 patients, at a mean of 19.4 months (range 6 to 42 months) after surgery, the visual analog scale improved from a mean of 9.2 to a mean of 2.1 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.0001). There were 7 excellent, 6 good, 3 fair, and 1 poor result, for 76% good to excellent result in terms of pain relief and improvement in being able to sit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pain with sitting can be due to injury to PFCN, a previously unreported etiology. Good to excellent results can be expected in 76% of carefully selected patients. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 35:463\u2013468, 2015.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/micr.22422","type":"journal-article","created":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T14:32:23Z","timestamp":1430145143000},"page":"463-468","source":"Crossref","is-referenced-by-count":24,"title":["Pain with sitting related to injury of the posterior femoral cutaneous nerve"],"prefix":"10.1002","volume":"35","author":[{"given":"A. Lee","family":"Dellon","sequence":"first","affiliation":[{"name":"Professor of Plastic Surgery and Neurosurgery Department of Plastic Surgery and Department of Neurosurgery Johns Hopkins University Baltimore MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,27]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"8","article-title":"Comparative morphological remarks on the origin of the posterior femoral cutaneous nerve","volume":"139","author":"Nakanishi T","year":"1976","journal-title":"Anat Anz"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","unstructured":"TubbsRS1 MillerJ LoukasM ShojaMM ShokouhiG Cohen\u2010GadolAA.Surgical and anatomical landmarks for the perineal branch of the posterior femoral cutaneous nerve: Implications in perineal pain syndromes.Laboratory investigation. 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