• James M Cox and Barclay W Bakkum.
• Post Graduate Faculty, National University of Health Sciences, Fort Wayne, Ind, USA. jcox200@comcast.net
• J Manipulative Physiol Ther. 2005 Sep 1;28(7):534-8.

ObjectiveTo 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.MethodsA 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.ResultsThe 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.ConclusionsIn 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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