Possible generators of retrotrochanteric gluteal and thigh pain: the gemelli-obturator internus complex.
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.
Cox
James M
JM
Post Graduate Faculty, National University of Health Sciences, Fort Wayne, Ind, USA. jcox200@comcast.net
Bakkum
Barclay W
BW
D002081:Buttocks / Q000033:anatomy & histology; D002102:Cadaver; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000033:anatomy & histology; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D013848:Thigh / Q000033:anatomy & histology