Objective: To investigate and correlate the anatomy of the gluteal region with the clinical findings of retrotrochanteric and posterior thigh pain, as seen in clinical chiropractic practice, and describe potential treatment options.
Methods: A descriptive gross anatomic study is correlated to a case presentation of a patient with deep persistent aching pain in the retrotrochanteric region of the left hip and upper posterolateral thigh.
Results: The structures that are located in the same location as the retrotrochanteric pain described by the patient are the gemelli-obturator internus muscle complex and associated bursae.
Conclusions: In patients with persistent gluteal and sciatica-like pain, especially when centered in the retrotrochanteric region, the gemelli-obturator internus muscle complex and associated bursae should be considered as a possible source of the pain.
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Deep Gluteal syndrome: An underestimated cause of posterior hip pain.
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Article Synopsis
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Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain.
Bone Joint J
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Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Department of Orthopedic Surgery, Seoul National University College of Medicine Seongnam, South Korea.
Deep gluteal syndrome is an increasingly recognized disease entity, caused by compression of the sciatic or pudendal nerve due to non-discogenic pelvic lesions. It includes the piriformis syndrome, the gemelli-obturator internus syndrome, the ischiofemoral impingement syndrome, and the proximal hamstring syndrome. The concept of the deep gluteal syndrome extends our understanding of posterior hip pain due to nerve entrapment beyond the traditional model of the piriformis syndrome.
View Article and Find Full Text PDFGemelli-obturator complex in the deep gluteal space: an anatomic and dynamic study.
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Anatomy and Embryology Unit, Faculty of Medicine, Universitat of Barcelona, Barcelona, Spain.
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Pelvic and lower extremity physiological cross-sectional areas: an MRI study of the living young and comparison to published research literature.
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Department of Anatomy, Faculty of Medicine, University of Leipzig, Leipzig, Germany.
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