Endoscopic Sciatic Nerve Decompression: Operative Technique

Deep gluteal syndrome is an increasingly recognized source of extra-articular posterior hip pain. The physical examination, special testing, injection tests, and imaging will aid in the differential diagnosis. Examiners should be aware of 4 potential sources of extra-articular posterior hip pain and key examination pearls described in this report. We describe an effective endoscopic technique for piriformis tenotomy and sciatic nerve neurolysis.