{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T03:50:51Z","timestamp":1785469851244,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the outcomes of endoscopic sciatic neurolysis and piriformis release as treatment for piriformis syndrome with a minimum 2\u2010year follow\u2010up, as well as present a comprehensive approach to enhance diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospectively collected data were retrospectively analyzed for all patients who underwent endoscopic piriformis release and sciatic neurolysis as a treatment for piriformis syndrome between 2010 and 2021. A diagnostic algorithm was employed for surgical indications throughout this time period. Included patients had completed preoperative and a minimum of 2\u2010year postoperative questionnaires for the following patient\u2010reported outcome measures: modified Harris Hip Score (mHHS), Non\u2010Arthritic Hip Score (NAHS), Hip Outcome Score\u2013Sports Specific Subscale (HOS\u2010SSS), and visual analog scale (VAS) for pain and patient satisfaction. The minimal clinically important difference was calculated for the mentioned patient\u2010reported outcome and included in the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 18 patients with a mean follow\u2010up time of 93.1 \u00b1 38.2 months were included in the study. All patients experienced symptom relief postoperatively. Significant improvement was seen at latest follow\u2010up compared to preoperative baseline for mHHS (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), NAHS (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), HOS\u2010SSS (\n                      <jats:italic>P<\/jats:italic>\n                      = .019), and VAS (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), as well as a high mean patient satisfaction of 8.3 \u00b1 1.7. Furthermore, a high percentage of patients reached the calculated minimal clinically important difference for mHHS (83.3%), NAHS (77.8%), HOS\u2010SSS (61.1%), and VAS (94.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Endoscopic release of the piriformis tendon and sciatic neurolysis have shown favorable outcomes, high patient satisfaction rates, and a high percentage of patients reaching clinically important thresholds, with a low rate of complications at a minimum 2\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.06.023","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T11:54:16Z","timestamp":1750938856000},"page":"4596-4603","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comprehensive Management of Piriformis Syndrome With Endoscopic Release and Sciatic Neurolysis Provides Favorable Outcomes and Low Complication Rate"],"prefix":"10.1002","volume":"41","author":[{"given":"Roger","family":"Quesada\u2010Jimenez","sequence":"first","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth G.","family":"Walsh","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ady H.","family":"Kahana\u2010Rojkind","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Schab","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler R.","family":"McCarroll","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."},{"name":"American Hip Institute Chicago Illinois 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