2025, Vol. 7, Issue 2, Part A
Hamstring avulsion as a rare cause of deep gluteal pain syndrome: A case report and literature review
Author(s): Ochoa-Villar Ozmar, Seidel Daniela and Parodi Dante
Abstract: Deep gluteal syndrome (DGS) is characterized by gluteal pain with sciatic irradiation that does not originate from the lumbar spine. While often attributed to sciatic nerve compression by deep musculotendinous structures, particularly fibrovascular adhesions, proximal hamstring avulsion is an unusual and rarely reported etiology of this condition. We present the case of a patient with DGS secondary to traumatic hamstring avulsion, supported by a literature review. Using electronic databases (PubMed, Scopus, and Embase), we reviewed the literature on relevant articles focusing on the causes, diagnosis, and treatment of DGS published between 2009 and 2025.
We present the case of a 57-year-old woman with sciatic nerve compression due to scar tissue and proximal retraction of the hamstring insertion site. Endoscopic sciatic nerve decompression resulted in the complete resolution of the patient's symptoms. A literature review confirmed that hamstring avulsion is a very rare or exceptional cause, with few publications relating it to extraspinal sciatic involvement. Therefore, DGS is a compression syndrome with multiple etiologies, and proximal hamstring avulsion, although infrequent, should be considered in the differential diagnosis, particularly in patients with a history of trauma. Early diagnosis and adequate surgical treatment can yield satisfactory functional outcomes.
DOI: 10.22271/27078345.2025.v7.i2a.254Pages: 05-09 | Views: 671 | Downloads: 330Download Full Article: Click Here
How to cite this article:
Ochoa-Villar Ozmar, Seidel Daniela, Parodi Dante.
Hamstring avulsion as a rare cause of deep gluteal pain syndrome: A case report and literature review. Int J Case Rep Orthop 2025;7(2):05-09. DOI:
10.22271/27078345.2025.v7.i2a.254
