Gluteal muscle contracture: diagnosis and management options

Abstract

Gluteal muscle contracture (GMC), a debilitating disease, exists all over the globe but it is much more prevalent in China. Patients typically present with abduction and external rotation of the hip and are unable to bring both the knees together while squatting. Multiple etiologies have been postulated, the commonest being repeated intramuscular injection into the buttocks. The disease is diagnosed primarily by clinical features but radiological features are necessary for the exclusion of other pathological conditions. Non-operative treatment with physiotherapy can be tried before surgery is considered but it usually fails. Different surgical techniques have been described and claimed to have a better outcome of one over another but controversy still exists. Based on published literatures, the clinical outcome is exceptionally good in all established methods of surgery. However, endoscopic surgery is superior to conventional open surgery in terms of cosmetic outcome with fewer complications. Nevertheless, its use has been limited by lack of adequate knowledge, instrumentations, and some inherent limitations. Above all, post-operative rehabilitation plays a key role in better outcome, which however should be started gradually.

The Optimal Arthroscopic Release Plane of External Snapping Hip

“…The exclusion criteria are as follows: (1) intra-articular snapping and internal type snapping caused by iliac psoas muscle contracture. (2) conventional pelvic slices exclude bone and joint abnormalities, such as hip dysplasia or subluxation (3) combined with other chronic diseases or not suitable for surgery. In this study, we will randomly divide all 360 hips (183 patients) into 6 groups of release planes, 60 hips in each group.…”

“…The internal snapping hip is caused by the iliac psoas tendon sliding over the iliac pubic carina or femoral head [2], and ESH is the most common clinically. In recent years, domestic and foreign literatures have advocated early surgical treatment, and arthroscopic release of ESH has gradually become the rst choice for surgeons [3]. Compared with open surgery, the arthroscopic release of ESH has the characteristics of small scars, light pain, fast recovery, and few complications [4,5].…”

Congenital contracture of the iliotibial tract: a case report

“…Несмотря на малое количество публикаций в отечественной научной печати [1], диагности-ка и клиника данной и схожей с ней патологии достаточно подробно описана в зарубежной ли-тературе [4][5][6][7]. По свидетельству ряда авторов [4,7], она встречается в США, Франции, Италии, Польше, Испании, Индии, но больше всего в Ки-тае.…”

“…По свидетельству ряда авторов [4,7], она встречается в США, Франции, Италии, Польше, Испании, Индии, но больше всего в Ки-тае. Этиология процесса остается малоизученной, поэтому авторы говорят о ятрогенной, идиопати-ческой и врожденной природе заболевания.…”

“…В русскоязычной литературе это заболевание обозначается как идиопатическая разгибатель-но-отводящая контрактура тазобедренного су-става или идиопатическая контрактура большой ягодичной мышцы [1,2], врожденная контрак-тура сухожилий больших ягодичных мышц [3]. В англо язычной литературе чаще встречается термин «врожденная или идиопатическая кон-трактура больших ягодичных мышц» (gluteal muscle contracture, GMC) [4][5][6][7].…”