.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.jpg)
Functional Outcomes after Open Release of Gluteus Maximums Contracture
Keywords:
Gluteus Maximums contracture (GMC), Hip flexion, Gluteal fibrosis, Open surgical releaseAbstract
Objective: To assess the functional outcomes of open surgical release in patients with gluteal muscle contracture treated at Khyber Teaching Hospital, Peshawar.
Methodology: This retrospective cross-sectional research conducted in District Headquarters Hospital, Batkhela, from January to December of 2024. Included were 100 patients, 50 of whom were male and 50 of whom were female, ages 6 to 14, who had been diagnosed with gluteal muscle contracture and treated with open surgical release. Demographic information, contracture laterality, involvement type, and functional level were examined in clinical records. SPSS version 25 was used to analyze the data. To investigate correlations between gender, age, contracture type, and functional results, statistical techniques included one-way ANOVA, independent t-test, and chi-square test.
Results: Bilateral contracture was more prevalent in female patients (p = 0.043) out of 100 patients (50 males and 50 females), with a mean age of 9.36 ± 1.69 years. Age differences across contracture types were not statistically significant (p = 0.074). 58% of patients (n = 58) showed bilateral contractures, whereas 42% (n = 42) had unilateral involvement. Bilateral contracture was found in 58% of patients and unilateral in 42%. A significant association was noted between gender and contracture laterality (p = 0.043). Males were more likely than females to have unilateral engagement on the right side, although the difference was not statistically significant (p = 0.200). There was no significant difference in mean age between the bilateral and unilateral groups (p = 0.710).
Conclusion: Open surgical release offers positive functional outcomes in children with GMC. Early surgical intervention improves mobility and quality of life.
References
1. Jiang YM, Li T, Wang L, Chen G, Li J. Comparison of open surgery versus endoscopic-assisted release for gluteal muscle contracture: a systematic review and meta-analysis. J Orthop Surg Res [Internet]. 2024;19(1):1–9. Available from: https://doi.org/10.1186/s13018-023-04452-7
2. Gao S guang, Liu W jie, Yang M, Li J ping, Su C, Kuang S da, et al. Clinical results of arthroscopic tight fibrous band release for adult moderate-to-severe gluteal fibrosis using anterior and posterior portals: a retrospective analysis of 118 consecutive cases. BMC Musculoskelet Disord. 2021;22(1):1–10.
3. Zhao F yuan, Dong H mei, Huang H jie, Gao G ying, Wu R qi, Shi Y yuan, et al. The Application of Arthroscopic Techniques in the Diagnosis and Treatment of Hip-Related Conditions in China. Orthop Surg. 2021;13(6):1697–706.
4. Lui TH, Li C, Tang X, He L, Ouyang K, Xu J, et al. Endoscopy of Peritrochanteric Space for Greater Trochanteric Pain Syndrome (GTPS). Endosc Hip Knee Princ Pract [Internet]. 2021 Jan 1 [cited 2025 May 3];39–62. Available from: https://link.springer.com/chapter/10.1007/978-981-16-3488-8_4
5. Lanza MB, Arbuco B, Ryan AS, Shipper AG, Gray VL, Addison O. Systematic Review of the Importance of Hip Muscle Strength, Activation, and Structure in Balance and Mobility Tasks. Arch Phys Med Rehabil. 2022 Aug 1;103(8):1651–62.
6. Gao J, Chai N, Wang T, Han Z, Chen J, Lin G, et al. A new technique of percutaneous minimally invasive surgery assisted by magnetic resonance neurography a retrospective analysis of 30 adults with moderate-to-severe gluteal muscle contracture. Bone Jt Open. 2024;5(9):776–84.
7. Llinás A, Bonilla G, Barrios V, Sadlik G, Gómez-Ortega V. Gluteal biopolymers and aggressive synovitis of the hip joint: A new reported association. J Plast Reconstr Aesthetic Surg [Internet]. 2022 Feb 1 [cited 2025 Apr 17];75(2):893–939. Available from: https://www.jprasurg.com/action/showFullText?pii=S1748681521005933
8. Yang Y, Peng Z, Shi L, Wang Y, Wang Y, Ge B, et al. Minimally invasive treatment of grade I and II gluteal muscle contracture using a self-made special cutter combined with a specialized compression hemostasis device. BMC Musculoskelet Disord. 2024;25(1):1–9.
9. Ilizaliturri VM, Zepeda Mora R, Rodríguez Vega LP. Rehabilitation After Gluteus Medius and Minimus Treatment. Arthrosc Sport Med Rehabil [Internet]. 2022;4(1):e41–50. Available from: https://doi.org/10.1016/j.asmr.2021.10.024
10. Ogut E. Is the third trochanter of the femur a developmental anomaly, a functional marker, or an evolutionary adaptation? J Can Soc Forensic Sci [Internet]. 2023 [cited 2025 Apr 27];56(3):123–42. Available from: https://www.tandfonline.com/doi/abs/10.1080/00085030.2022.2104563
11. Zhao Y, Dong X, Zhang M, Zhao Z, Zhang X. High incidence of acetabular retroversion in gluteal muscle contracture patients based on X-ray film. 2022 Sep 2 [cited 2025 May 3]; Available from: https://europepmc.org/article/ppr/ppr539648
12. Chen L, Wu Y, Chen Z, Zhou C, Fan Y, Li Z, et al. What happens to the gluteus medius in young and middle-aged patients with hip dysplasia? Int Orthop [Internet]. 2022 Apr 1 [cited 2025 Apr 27];46(4):761–8. Available from: https://link.springer.com/article/10.1007/s00264-021-05271-3
13. Hu J, Zhu J, Zhou Z, Yang X, Zhu M, Wu P. Clinical Outcomes of Arthroscopic Surgery in Patients with Gluteal Muscle Contracture: Single-Institution Results from a High-Volume Cohort. Med Sci Monit. 2024;30:1–9.
14. Ganokroj P, Chaowalitwong J, Kerdsomnuek P, Sudjai N, Lertwanich P, Vanadurongwan B. Three-dimensional motion analysis of ten common Asian sitting positions in daily living and factors affect range of hip motions. BMC Musculoskelet Disord. 2021;22(1):1–13.
15. Ahmad N, Shabbir S, Raheem S, Latif K, Liaqat M, Junaid Akram M. Association of Iliotibial Band Tightness with Lumbopelvic Pain and Hip Joint Outcome. J Riphah Coll Rehabil Sci. 2023;11(01):23–7.
16. Zandee van Rilland ED, Yao L, Stevens KJ, Chung LS, Fiorentino DF, Boutin RD. Myositis and Its Mimics: Guideline Updates, MRI Characteristics, and New Horizons. Am J Roentgenol [Internet]. 2024 Aug 1 [cited 2025 May 3];223(2). Available from: /doi/pdf/10.2214/AJR.24.31359?download=true
17. Wasserman PL, Way A, Baig S, Gopireddy DR. MRI of myositis and other urgent muscle-related disorders. Emerg Radiol [Internet]. 2021 Apr 1 [cited 2025 May 3];28(2):409–21. Available from: https://link.springer.com/article/10.1007/s10140-020-01866-2
18. Riehl JT. Tibial plateau fractures. 2023 [cited 2025 May 3]; Available from: https://books.google.com/books/about/Tibial_Plateau_Fractures_E_Book.html?id=2oJaEAAAQBAJ
19. Morishima R, Schoser B. A Straightforward Approach to Analyze Skeletal Muscle MRI in Limb-Girdle Muscular Dystrophy for Differential Diagnosis: A Systematic Review. Muscles. 2023;2(4):374–88.
20. Zhao Y, Dong X, Zhao Z, Lv M, Li S, Zhang X. CT-based morphological study of the pelvis in patients with gluteal muscle contracture. J Orthop Surg Res [Internet]. 2023;18(1):1–6. Available from: https://doi.org/10.1186/s13018-023-03564-4
21. Zhang T, Xu S, Li H, He X, Zhang F. Comparison of the clinical effects of arthroscopic surgery vs. open surgery for grade II gluteal muscle contracture in adults. Exp Ther Med. 2018;16(1):364–9.
