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Subgluteal Space and Associated Disorders

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Operative Hip Arthroscopy

Abstract

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.

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Acknowledgements

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

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  1. The Hip Clinic, Oklahoma Sport Science and Orthopaedics, 6205 N Santa Fe, Suite 200, Oklahoma City, OK, 73118, USA

    Hal David Martin DO

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  1. Hal David Martin DO
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Correspondence to Hal David Martin DO .

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  1. Orthopaedic Center, Baptist Medical Plaza I, Nashville Sports Medicine and, Church Street 2011, Nashville, 37203, Tennessee, USA

    J.W. Thomas Byrd

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Martin, H.D. (2013). Subgluteal Space and Associated Disorders. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_24

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