intemal iliac artery is aiiected alone. claudicaiton in gluteus maximus on walking may be the onry Symptom Dlagnostic aigns

SLR öf füll ränge though painful at the extrems Multiradcular- signs in lower Iimbs muscle weakness billateral, unequal and marked 6 Benign spinal tumour - Progressiva increase in symptome Neurological signs more severe and progressive than in disc lesion if radograph shows srosion of bone and induction af epidural anaesthesia does not cause disappearance öf pain for the time being atumour is very prodably present 7 Major lesions in the butlock -such as acute osteomyelitis of ilium or üpper femur. ischio-recatl abscess pointing into buttock, septic gluteal bursitis Straight leg raising and hip flexion both vary painfut (In. sciaica due to dsc lesion nip flexlon is not imited 8 Arthritöis of the hip - Hip movements restricted and pain provokad by passive movemenis Radiograph of pelvis diagnostic 9 Intermittent claudiction when intemal iliac artery is aiiected alone. claudicaiton in gluteus maximus on walking may be the onry Symptom Dlagnostic aigns • Patient fies prone and his hip is axtended pasaively; this cauaes no pain He is then asked to keep the leg extended for a minute, this brings on the claudication spinal claudicatian - Pins and needes in both lower limbs on walking acrtain distance