Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Lawrenson, Peter; Crossley, Kay M; Vicenzino, B.; Hodges, Paul W.; James, Gregory; Croft, Kate; King, M.; Semciw, Adam

doi:10.1016/j.joca.2018.10.008

Cited by 37 publications

(30 citation statements)

References 57 publications

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“…Akin to current findings, Zacharias et al (2016) reported GMax, GMed, and GMin muscle atrophy as well as increased levels of fatty infiltration in GMax and GMin. However, a recent systematic review and meta-analysis on muscle size and composition in people with articular hip pathology reported the variability in magnitude of difference in hip muscle size between people with hip pathology and those without (Lawrenson et al, 2019). The pattern of muscle atrophy reported in this study is not consistent across all hip conditions.…”

Section: Discussioncontrasting

confidence: 86%

“…Further, it is difficult to know whether the increase in size of these muscles combined, is due to active contractile tissue, or noncontractile tissue (e.g., fat infiltration). For these reasons, as suggested in a recent systematic review, consideration of individual muscle size and quality (e.g., fat infiltration) in future research is recommended (Lawrenson et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

et al. 2019

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Greater trochanteric pain syndrome (GTPS) is prevalent in women and severely impacts quality of life. A key muscle group demonstrating reduced strength are the hip abductors. An understanding of specific muscles affected will help guide targeted rehabilitation. Objectives of this case–control study were to compare gluteal and tensor fasciae latae (TFL) muscle size and quality (fatty infiltration) in women with symptomatic GTPS to asymptomatic age‐matched female controls. Magnetic resonance imaging of 16 women with GTPS (mean age 55.75 years, range 23–69) and 15 asymptomatic controls (mean age 55.60 years, range 31–66) was undertaken. Muscle volumes of the gluteus maximus, gluteus medius, gluteus minimus, and TFL were calculated. Fatty infiltration was rated using the Goutallier classification system for all muscles in their entirety, as well as anterior and posterior segments of gluteus medius and minimus. Muscle volumes and fatty infiltration were compared between groups. Significantly smaller muscle volumes were identified in the symptomatic group for the upper (P = 0.01) and lower (P = 0.04) portions of gluteus maximus, gluteus medius (P = 0.03), and gluteus minimus (P = 0.02). There was no difference in TFL (P = 0.18). Symptomatic participants displayed significantly greater fatty infiltration in gluteus maximus upper (P = 0.021) and lower (P = 0.049) when adjusted for BMI, and gluteus minimus (P = 0.018), particularly in the posterior portion (P = 0.04). Anterior gluteus minimus demonstrated high amounts of fatty infiltration in both groups. Gluteal muscle atrophy and fatty infiltration in women with GTPS suggests gluteus maximus and minimus may be an important target for rehabilitation. Clin. Anat., 33:1082‐1090, 2020. © 2019 Wiley Periodicals, Inc.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

et al. 2019

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“…Imaging findings related to the pain of hip osteoarthritis include the intramedullary intensity changes in the acetabulum or femoral head on magnetic resonance imaging (MRI), 1 - 4 so-called bone marrow lesions (BMLs), and muscle atrophy around the hip joint. 5 - 7 A comprehensive scoring system of MRI findings in hip osteoarthritis, the Hip Osteoarthritis MRI Scoring System (HOAMS), has also been established. 1 , 8 However, the HOAMS is very complicated, and it takes time to evaluate and score all findings.…”

Section: Introductionmentioning

confidence: 99%

The Differences in Imaging Findings Between Painless and Painful Osteoarthritis of the Hip

Kijima

Yamada

Konishi

et al. 2020

Clin Med�Insights�Arthritis�Musculoskelet Disord

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Purpose: In osteoarthritis of the hip, the pain may be strong even if the deformity is mild, but the pain may be mild even if the deformity is severe. If the factors related to the pain can be identified on imaging, reducing such factors can alleviate the pain, and effective measures can be taken for cases where surgery cannot be performed. In addition, imaging findings related to the pain are also important information for determining the procedures and the timing of surgery. Thus, the purpose of this study was to identify the differences in features of osteoarthritis seen on imaging between painless and painful osteoarthritis of the hip. Methods: The subjects were the patients with hip osteoarthritis who visited our department in 2015 and who underwent x-ray, computed tomography (CT), and magnetic resonance imaging (MRI), a total of 29 patients (54 hip joints; mean age 63 years; 8 males and 21 females). The degree of osteoarthritis was determined using the Tönnis grade from the x-ray image. The cartilage morphology, intensity changes of bone marrow on MRI (subchondral bone marrow lesions [BMLs]), osteophytes, joint effusions, and paralabral cysts were scored based on the Hip Osteoarthritis MRI Scoring System (HOAMS). The cross-sectional area of the psoas major muscle at the level of the iliac crest was measured on CT, and the psoas index (PI; the cross-sectional area ratio of the psoas major muscle to the lumbar 4/5 intervertebral disc) was calculated to correct for the difference in physique. Then, the relationships between these and visual analog scale (VAS) scores of pains were evaluated. Results: The average VAS was 55.4 ± 39 mm. The PI and all items of HOAMS correlated with the VAS. The average VAS of Tönnis grade 3 osteoarthritis was 75.8 ± 26 mm. When investigating only Tönnis grade 3 osteoarthritis, the differences between cases with less than average pain and those with above average pain were the BML score in the central-inferior femoral head ( P = .0213), the osteophyte score of the inferomedial femoral head ( P = .0325), and the PI ( P = .0292). Conclusion: Investigation of the differences between painless and painful osteoarthritis of the hip showed that the cases with more pain have BMLs of the femoral head on MRI that extend not only to the loading area, but also to the central-inferior area. Even with the same x-ray findings, the pain was stronger in patients with severe psoas atrophy. Thus, the instability due to muscle atrophy may also play a role in the pain of hip osteoarthritis.

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“…LDD has been reported to be related to GTPS 34,35) , and GMedS is also accompanied by low back pain and some symptoms of LDD are possibly attributed to GMedS. Numerous reports have pointed out that hip osteoarthritis is related to GTPS or decreased GMed strength [36][37][38][39][40] . Thus, some symptoms of hip osteoarthritis can be possibly attributed to GMedS.…”

Section: Introductionmentioning

confidence: 99%

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Kameda

Tanimae²,

Kihara³

et al. 2020

J Phys Ther Sci

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Gluteus medius syndrome is one of the major causes of back pain or leg pain and is similar to greater trochanteric pain syndrome, which also presents with back pain or leg pain. Greater trochanteric pain syndrome is associated with lumbar degenerative disease and hip osteoarthritis. The objective of this review was to demonstrate gluteus medius syndrome as a disease entity by reviewing relevant articles to elucidate the condition. [Methods] Gluteus medius syndrome was defined as myofascial pain syndrome arising from the gluteus medius. We performed a search of the literature using the following keywords: "back pain", "leg pain", "greater trochanteric pain syndrome", "degenerative lumbar disease", "hip osteoarthritis", and "gluteus medius". We reviewed articles related to gluteus medius syndrome and described the findings in terms of diagnosis and treatment based on the underlying pathology. [Results] A total of 135 articles were included in this review. Gluteus medius syndrome is similar as a disease entity to greater trochanteric pain syndrome, which presents with symptoms of low back pain and leg pain. Gluteus medius syndrome is also related to lumbar degenerative disease, hip osteoarthritis, knee osteoarthritis, and failed back surgery syndrome. [Conclusion] Accurate diagnosis of gluteus medius syndrome and appropriate treatment could possibly improve lumbar degenerative disease and osteoarthritis of the hip and knee, as well as hip-spine syndrome and failed back surgery syndrome.

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Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Cited by 37 publications

References 57 publications

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

The Differences in Imaging Findings Between Painless and Painful Osteoarthritis of the Hip

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

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