Abstract
BackgroundGluteal 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.MethodsOne hundred fifty-eight patients, who were treated between January 1995 and December 2004, were reviewed at a mean duration of follow-up of 4.8 years. Statistical analyses were performed using X2 and Fisher's exact tests.ResultsNon-operative management (NOM), as a primary treatment, was effective in 19 of 49 patients (38.8%), while operative management was effective in all 129 patients, with an excellence rating of 83.7% (108/129). The outcome of NOM in level I patients was significantly higher than in level II and III patients (P < 0.05). The results of NOM and operative management in the child group were better than the adolescent group (P < 0.05). Complications in level III were more than in level II.ConclusionNOM was more effective in level I patients than in level II and III patients. Operative management was effective in patients at all levels, with no statistical differences between levels or types. We recommend NOM as primary treatment for level I patients and operative management for level II and III patients. Either NOM or operative management should be carried out as early as possible.
Highlights
Gluteal muscle contracture (GMC) is a clinical syndrome due to multiple etiologies in which hip movements may be severely limited
Gluteal muscle contracture(GMC), reported by Valderrama for the first time, is a clinical syndrome pathologically-characterized by degeneration, necrosis, and fibrosis of the gluteal muscles and fascia, leading to serious limitation of hip movements [1]
The purpose of this study was to propose a detailed classification of GMC and evaluate the statistical association between outcome of different management and patient conditions, including severity, pathologic type, and age by reviewing 158 of our patients over the past 10 years
Summary
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. Gluteal muscle contracture(GMC), reported by Valderrama for the first time, is a clinical syndrome pathologically-characterized by degeneration, necrosis, and fibrosis of the gluteal muscles and fascia, leading to serious limitation of hip movements [1]. The purpose of this study was to propose a detailed classification of GMC and evaluate the statistical association between outcome of different management and patient conditions, including severity, pathologic type, and age by reviewing 158 of our patients over the past 10 years GMC is not uncommon and exists worldwide, involving the US, France, Italy, Poland, Australia, Spain, China, and India [2,3,4,5,6,7,8,9].
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