Subgluteal Space and Associated Disorders

  • Hal David MartinEmail author


There are four sources of posterior extra-articular hip pain for which the surgeon should be aware: deep gluteal syndrome (sciatic nerve entrapment), hamstring pathology, pudendal nerve, and ischiofemoral impingement. A structured hip examination is key to the assessment of patients presenting with posterior hip pain. A comprehensive examination should encompass the four layers of the hip, the osseous, capsulolabral, musculotendinous, and neurovascular, and consideration should be given to the fifth layer, the kinematic chain. This chapter discusses the pertinent anatomy, relevant biomechanics, key clinical diagnostic strategies, and evaluation of posterior hip pathology in the development of a treatment plan for deep gluteal syndrome (sciatic nerve entrapment), hamstring pathology, pudendal nerve, and ischiofemoral impingement, as a part of a comprehensive treatment strategy.


Sciatic Nerve Pudendal Nerve Ischial Tuberosity Piriformis Muscle Sciatic Notch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



I would like to thank Ian J. Palmer [PhD] and Munif Hatem [MD] for their assistance in preparing this chapter.


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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.The Hip ClinicOklahoma Sport Science and OrthopaedicsOklahoma CityUSA

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