Possible Generators of Retrotrochanteric Gluteal and Thigh Pain: The Gemelli–Obturator Internus Complex
Received 10 March 2003; received in revised form 25 February 2004 and 13 July 2004
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.
aPost Graduate Faculty, National University of Health Sciences and Private practice, Fort Wayne, Ind
bDepartment of Anatomy, National University of Health Sciences, Lombard, Ill
Submit requests for reprints to: James M. Cox, DC, 3125 Hobson Road, Fort Wayne, IN 46805
Sources of support: no external funding was received for this study.
ABSTRACT