Evidence map›Paper›PMID 41120580›Full record

ArticleSurgical and radiologic anatomy : SRA2025

Piriformis muscle with three bellies and a sacrotuberous-ligament belly: cadaveric case report and belly-count classification proposal.

Ingrid C Landfald, Paloma Aragones, Teresa Vázquez, Łukasz Olewnik

Abstract readCase Reports
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ingrid C LandfaldDepartment of Clinical Anatomy, Masovian Academy in Plock, Plock, Poland.
Paloma AragonesVARIANTIS Research Laboratory, Department of Clinical Anatomy, Mazovian Academy in Płock, Plock, Poland.
Teresa VázquezVARIANTIS Research Laboratory, Department of Clinical Anatomy, Mazovian Academy in Płock, Plock, Poland.
Łukasz OlewnikDepartment of Clinical Anatomy, Masovian Academy in Plock, Plock, Poland. l.olewnik@mazowiecka.edu.pl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe piriformis muscle (PM) contributes to hip stabilisation and external rotation. Given its proximity to the sciatic nerve, PM variability is clinically relevant within deep gluteal syndrome, which encompasses non-discogenic entrapments in the subgluteal space. Although numerous variants have been described, the number of discrete bellies is inconsistently reported across studies. CASE REPORT: During routine dissection of a 79-year-old female cadaver, we identified a three-bellied PM. The superior belly arose from the gluteal surface of the ilium near the greater sciatic notch, the middle belly from the anterior sacrum (S2–S4), and the inferior belly from the sacrotuberous ligament. All three bellies converged into a single tendon inserting on the superior surface of the greater trochanter. Morphometry demonstrated distinct dimensions for each belly and for the common tendon. The contralateral side displayed a typical single-bellied PM.

conclusionThis report documents a three-bellied configuration of the PM. To standardise concise reporting, we propose a belly-count scheme with four categories: Type 0 absent, Type 1 single belly, Type 2 double belly, and Type 3 multiple bellies (≥ 3). Both the present case and the triple-bellied configuration reported by Koziol et al. fall under Type 3. This scheme is reporting-oriented and preliminary and does not imply prevalence or clinical risk without confirmation in larger series.

Indexed as

Anatomic VariationHip JointLigaments, ArticularMuscle, SkeletalTendonsAgedButtocksCadaverFemaleHumansAnatomical classificationCadaveric dissectionDeep gluteal syndromePiriformis muscle variantsSacrotuberous ligamentSciatic nerve entrapment

Identifiers

PMID41120580
PMCPMC12540628

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.