Classification of gluteal muscle contracture in children and outcome of different treatments

Abstract

Background: Gluteal muscle contracture (GMC) is a clinical syndrome due to multiple etiologies in which hip movements may be severely limited. The aim of this study was to propose a detailed classification of GMC and evaluate the statistical association between outcomes of different management and patient conditions.

Aberrant Femoral Torsion Presenting with Frog-leg Squatting Mimicking Gluteal Muscle Contracture

“…Numerous authors believe GMC is secondary to repeated intramuscular injections, regardless of the type of medication injected into the buttocks [2,6,8,9,14] and/or a constitutional fibrogenic diathesis [2,7]. GMC is characterized by variable degrees of muscle atrophy and intramuscular fibrosis of the gluteus maximus muscle, which leads to restriction of internal rotation, adduction, and flexion of the affected hips.…”

“…Although in the past, the diagnosis of GMC usually was derived from the history and physical examination, additional objective imaging studies are indicated not only for military certification but also for detailed evaluation of disease extent, degrees of muscle atrophy, and preoperative planning [2]. Operative release of fibrotic tissue with surgical division, resection [2,14], or radiofrequency energy [6] effectively restores reasonably normal squatting in patients with severe GMC; nonoperative management such as passive stretching is recommended as a primary treatment for mild GMC [14].…”

“…In the literature, frog-leg squatting has been considered the result of and pathognomonic for gluteal muscle contracture (GMC) [2,6]. Most of the reported patients are school-aged children (6-18 years old), and the lesions are often secondary to repeated intramuscular injections in the buttocks [2,6,8,9,14] and a constitutional fibrogenic diathesis in many patients [2,7]. GMC has been used as one of the criteria for exemption from military service in Taiwan.…”

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.…”

“…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].…”