Clinical Examination of the Patient with Posterior Hip Pain

  • Hal D. Martin


Advancements in the understanding of hip joint anatomy and biomechanics have contributed to the improvement of diagnosis and treatment decisions for distal causes of deep gluteal syndrome (DGS). Ischiofemoral impingement, hamstring syndrome, and pudendal nerve entrapment are sources of posterior hip pain that can simulate symptoms of DGS. To evaluate the etiology of posterior hip pain, it is necessary to understand and assess the interaction between the osseous, capsulolabral, musculotendinous, neurovascular, and kinematic levels. The combination of a comprehensive history and physical examination with imaging and ancillary testing is critical to diagnose posterior hip pain. Six key physical examination tests are described to differentiate distal versus proximal sources of extrapelvic posterior hip pain. Differential diagnosis of DGS, IFI, hamstring syndrome, and pudendal nerve entrapment is dependent upon the understanding of the entire anatomy, biomechanics, and clinical presentation of posterior hip pain.


Ischiofemoral impingement Hamstring syndrome Posterior hip pain Deep gluteal syndrome Sciatic nerve entrapment Ischial tunnel Hamstring tear 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Hal D. Martin
    • 1
  1. 1.Medical and Research Director, Hip Preservation Center, Baylor University Medical CenterDallasUSA

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