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01-01-2021 | Osteoarthritis of the Hip | Original Article

Appropriate sites for the measurement of the cross-sectional area of the gluteus maximus and the gluteus medius muscles in patients with hip osteoarthritis

Authors: Daisuke Homma, Izumi Minato, Norio Imai, Dai Miyasaka, Yoshinori Sakai, Yoji Horigome, Hayato Suzuki, Hayato Shimada, Yoichiro Dohmae, Naoto Endo

Published in: Surgical and Radiologic Anatomy | Issue 1/2021

Abstract

Purpose

To evaluate the relationship between the volume, cross-sectional area, and peak isometric muscle strength of the gluteus maximus and gluteus medius muscles in patients with hip osteoarthritis, and to use this information to identify effective sites for measurement of the cross-sectional area of these muscles.

Methods

Twenty-four patients with hip osteoarthritis were included. The muscle cross-sectional area and volume were calculated from magnetic resonance images. The cross-sectional area was calculated at three levels: the inferior point of the sacroiliac joint, just above the femoral head, and at the greatest muscle diameter. Peak isometric strength was assessed using hand-held dynamometry, using the extension and external rotation for the gluteus maximus and abduction and internal rotation for the gluteus medius. Measured outcomes were compared between the two muscles, and the association between muscle volume, cross-sectional area, and peak isometric muscle strength was evaluated using Pearson’s correlation.

Results

Volume was correlated with the cross-sectional area in the gluteus maximus (r ≥ 0.707) and with the cross-sectional area (r ≥ 0.637) and peak isometric strength (r ≥ 0.477) in the gluteus medius. There was no difference between the cross-sectional area measured at the greatest muscle diameter and just above the femoral head (p = 0.503) for the gluteus maximus and at the inferior point of the sacroiliac joint (p = 0.651) for the gluteus medius.

Conclusion

The cross-sectional area, when used to calculate the muscle volume, should be evaluated just above the femoral head for the gluteus maximus and at the inferior point of the sacroiliac joint for the gluteus medius.

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Title: Appropriate sites for the measurement of the cross-sectional area of the gluteus maximus and the gluteus medius muscles in patients with hip osteoarthritis
Authors: Daisuke Homma
Izumi Minato
Norio Imai
Dai Miyasaka
Yoshinori Sakai
Yoji Horigome
Hayato Suzuki
Hayato Shimada
Yoichiro Dohmae
Naoto Endo
Publication date: 01-01-2021
Publisher: Springer Paris
Keywords: Osteoarthritis of the Hip
Osteoarthritis of the Hip
Published in: Surgical and Radiologic Anatomy / Issue 1/2021
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02535-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Appropriate sites for the measurement of the cross-sectional area of the gluteus maximus and the gluteus medius muscles in patients with hip osteoarthritis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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