Hip & Thigh

Question 1

List the 2 taught hip & thigh points and describe their location

Answer 1

Hip & thigh points

1. GB30

At the junction of the lateral 1/3 and medial 2/3 of the distance on the line between the sacral hiatus (~ top of the anal crease) and the most prominent posterior point of the greater trochanter.

2. GB31

On the lateral aspect of the thigh, 7 cun above the popliteal crease (lateral knee joint line). Alternatively, found in the standing position, where the tip of the third finger reaches the thigh.

Question 2

GB30 location and needling technique

• Location
• Insertion
• Depth

Answer 2

GB30 location and needling technique

Location

At the junction of the lateral 1/3 and medial 2/3 of the distance on the line between the sacral hiatus (~ top of the anal crease) and the most prominent posterior point of the greater trochanter.

Insertion

posterior to anterior, perpendicular to the skin

Depth

2 – 3.5 cun as required to reach the depth of the sciatic nerve

Question 3

List relevant GB30 anatomy

• Muscles (3)
• Nerves (3)
• Vessels (2)

Answer 3

GB30 anatomy

Muscles

1. gluteus maximus
2. piriformis
3. superior gemellus

Nerves

1. posterior femoral cutaneous nerve S1-3
2. inferior gluteal nerve L5-S2
3. sciatic nerve L4-S3

Vessels

1. & 2. inferior gluteal artery and vein

Question 4

List 8 neuroanatomical GB30 indications

Answer 4

GB30 indications

1. trochanteric bursitis
2. osteoarthritis and rheumatoid arthritis of the hip joint
3. hip ligamentous hip sprain
4. lower back pain
5. sciatica
6. motor and sensory disorders of the lower extremity
7. hemiplegia
8. muscle atrophy of the lower limb

Question 5

GB31 location and needling technique

• Location
• Insertion
• Depth

Answer 5

GB31 location and needling technique

Location

On the lateral aspect of the thigh, 7 cun above the popliteal crease (lateral knee joint line). Alternatively, found in the standing position, where the tip of the third finger reaches the thigh.

Insertion

lateral to medial, perpendicular to the skin

Depth

1.5 – 2 cun

Question 6

List relevant GB31 anatomy

• Muscles (2)
• Nerves (1)
• Vessels (2)

Answer 6

GB31 anatomy

Muscles

1. tensor fascia lata
2. vastus lateralis

Nerves

1. lateral femoral cutaneous nerve L2, L3

Vessels

1. & 2. muscular branches of the lateral circumflex femoral artery and vein

Question 7

List 3 neuronatomical GB31 indications

Answer 7

GB31 indications

1. Trochanteric bursitis
2. Hip abductor strain
3. Meralgia paresthetica