NeurodinamicAtlas

Sciatic nerve at the ischial tuberosity: 3D anatomy

Below gluteus maximus the sciatic nerve descends very close to the ischial tuberosity and the common hamstring origin. Tendon injury, fibrosis or a narrowed ischiofemoral space may affect it. This page shows that relationship in 3D, together with the tests that load it.

Anatomy of the passage

Ischial region · hamstring origin
Plate derived from Z-Anatomy / BodyParts3D · CC BY-SA 4.0

Next to the ischial tuberosity, the sciatic nerve passes close to the origin of the hamstrings. Tendon changes or fibrosis may limit its space and mobility. This site is described as the ischial tunnel or proximal hamstring syndrome within the differential diagnosis of gluteal pain.

Nerve
Sciatic nerve: deep gluteal space and ischial region
Frequency
Described site, less commonly seen.
Type of evidence
Clinical review and systematic review

References

  1. Martin R, Martin HD, Kivlan BR. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther 2017. PubMed 29234567 · DOI
  2. Kay J, de Sa D, Morrison L, Fejtek E, Simunovic N, Martin HD, Ayeni OR. Surgical Management of Deep Gluteal Syndrome Causing Sciatic Nerve Entrapment: A Systematic Review. Arthroscopy 2017. PubMed 28866346 · DOI

Ultrasound landmarks

Between the ischial tuberosity and the greater trochanter, the sciatic nerve lies lateral to the origin of the hamstrings and deep to gluteus maximus. Deep station.

Tests that load this nerve

View the nerve in the 3D atlas

Other sites of the same nerve

All entrapment sites

Open the free atlas