Classification and management of the gluteal muscles contracture

摘要

Objective To explore the indications ofphysiotherapy and operative treatment for gluteal muscles contracture, and discuss the principles and necessity of classification in order to facilitate clinical management. Methods The standards of classification of gluteal muscles contracture were based on the signs and pathological examination, It consisted of three stages upon our standards. 210 patients could be divided into stage Ⅰ of 23 cases,stage Ⅱ and Ⅲ of 187 cases. For the patients of stage Ⅰ , physiotherapy was performed; However, all cases of stage Ⅱ and Ⅲ .operative treatment was adopted by small superomedial incision above the greater trochanter. Furthermore, in the cases of stage Ⅱ , tight fibrotic gluteal muscles and thick contracted fascia lata should be released; For stage Ⅲ lesion, the release should be extended to the capsule of hip, and incision of the posterior capsule was necessary. Results In the group of stage Ⅰ . The symptoms and signs were relieved by maneuver, the rate of