nach oben

Erschienen in:

17.07.2020 | 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

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

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

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.

Ahedi H, Aitken D, Scott D, Blizzard L, Cicuttini F, Jones G (2014) The association between hip muscle cross-sectional area, muscle strength, and bone mineral density. Calcif Tissue Int 95:64–72. https://doi.org/10.1007/s00223-014-9863-6CrossRefPubMed

Allen KD, Golightly YM (2015) State of the evidence. Curr Opin Rheumatol 27:276–283. https://doi.org/10.1097/BOR.0000000000000161CrossRefPubMedPubMedCentral

Bamman MM, Clarke MS, Feeback DL, Talmadge RJ, Stevens BR, Lieberman SA, Greenisen MC (1998) Impact of resistance exercise during bed rest on skeletal muscle sarcopenia and myosin isoform distribution. J Appl Physiol 84:157–163. https://doi.org/10.1152/jappl.1998.84.1.157CrossRefPubMed

Bejek Z, Paróczai R, Illyés A, Kiss RM (2006) The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee Surg Sports Traumatol Arthrosc 14:612–622. https://doi.org/10.1007/s00167-005-0005-6CrossRefPubMed

Bogunovic L, Lee SX, Haro MS, Frank JM, Mather RC 3rd, Bush-Joseph CA, Nho SJ (2015) Application of the Goutallier/Fuchs rotator cuff classification to the evaluation of hip abductor tendon tears and the clinical correlation with outcome after repair. Arthroscopy 31:2145–2151. https://doi.org/10.1016/j.arthro.2015.04.101CrossRefPubMed

Fukunaga T, Miyatani M, Tachi M, Kouzaki M, Kawakami Y, Kanehisa H (2001) Muscle volume is a major determinant of joint torque in humans. Acta Physiol Scand 172:249–255. https://doi.org/10.1046/j.1365-201x.2001.00867.xCrossRefPubMed

Gottschalk F, Kourosh S, Leveau B (1989) The functional anatomy of tensor fasciae latae and gluteus medius and minimus. J Anat 166:179–189PubMedPubMedCentral

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures: pre-and postoperative evaluation by CT scan. Clin Orthop Relat Res 304:78–83

Grimaldi A, Richardson C, Durbridge G, Donnelly W, Darnell R, Hides J (2009) The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Man Ther 14:611–617. https://doi.org/10.1016/j.math.2008.11.002CrossRefPubMed

10.

Grimaldi A, Richardson C, Stanton W, Durbridge G, Donnelly W, Hides J (2009) The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Man Ther 14:605–610. https://doi.org/10.1016/j.math.2009.07.004CrossRefPubMed

11.

Homma D, Jigami H, Sato N (2016) Effects of Nordic walking on pelvis motion and muscle activities around the hip joints of adults with hip osteoarthritis. J Phys Ther Sci 28:1213–1218. https://doi.org/10.1589/jpts.28.1213CrossRefPubMedPubMedCentral

12.

Homma D, Minato I, Imai N, Miyasaka D, Sakai Y, Horigome Y, Suzuki H, Dohmae Y, Endo N (2019) Investigation on the measurement sites of the cross-sectional areas of the gluteus maximus and gluteus medius. Surg Radiol Anat 41:109–115. https://doi.org/10.1007/s00276-018-2099-9CrossRefPubMed

13.

Hurwitz DE, Hulet CH, Andriacchi TP, Rosenberg AG, Galante JO (1997) Gait compensations in patients with osteoarthritis of the hip and their relationship to pain and passive hip motion. J Orthop Res 15:629–635. https://doi.org/10.1002/jor.1100150421CrossRefPubMed

14.

Kubota M, Shimada S, Kobayashi S, Sasaki S, Kitade I, Matsumura M, Kamei K, Kitano M, Takeno K, Baba H (2007) Quantitative gait analysis of patients with bilateral hip osteoarthritis excluding the influence of walking speed. J Orthop Sci 12:451–457. https://doi.org/10.1007/s00776-007-1160-zCrossRefPubMed

15.

Malloy P, Stone AV, Kunze KN, Neal WH, Beck EC, Nho SJ (2019) Patients with unilateral femoroacetabular impingement syndrome have asymmetrical hip muscle cross-sectional area and compensatory muscle changes associated with preoperative pain level. Arthroscopy 35:1445–1453. https://doi.org/10.1016/j.arthro.2018.11.053CrossRefPubMed

16.

Mastenbrook M, Commean PK, Hillen TJ, Salsich GB, Meyer GA, Mueller MJ, Clohisy JC, Harris-Hayes M (2017) Hip abductor muscle volume and strength differences between women with chronic hip joint pain and asymptomatic controls. J Orthop Sports Phys Ther 47:923–930. https://doi.org/10.2519/jospt.2017.7380CrossRefPubMedPubMedCentral

17.

Momose T, Inaba Y, Choe H, Kobayashi N, Tezuka T, Saito T (2017) CT-based analysis of muscle volume and degeneration of gluteus medius in patients with unilateral hip osteoarthritis. BMC Musculoskelet Disord 18:457. https://doi.org/10.1186/s12891-017-1828-2CrossRefPubMedPubMedCentral

18.

Murray MP, Gore DR, Clarkson BH (1971) Walking patterns of patients with unilateral hip pain due to osteo-arthritis and avascular necrosis. J Bone Jt Surg Am 53:259–274CrossRef

19.

Offierski CM, MacNab I (1983) Hip-spine syndrome. Spine 8:316–321. https://doi.org/10.1097/00007632-198304000-00014CrossRefPubMed

20.

Ogawa T, Takao M, Otake Y, Yokota F, Hamada H, Sakai T, Sato Y, Sugano N (2020) Validation study of the CT-based cross-sectional evaluation of muscular atrophy and fatty degeneration around the pelvis and the femur. J Orthop Sci 25:139–144. https://doi.org/10.1016/j.jos.2019.02.004CrossRefPubMed

21.

Pfirrmann CW, Notzli HP, Dora C, Hodler J, Zanetti M (2005) Abductor tendons and muscles assessed at MR imaging after total hip arthroplasty in asymptomatic and symptomatic patients. Radiology 235:969–976. https://doi.org/10.1148/radiol.2353040403CrossRefPubMed

22.

Quintana JM, Arostegui I, Escobar A, Azkarate J, Goenaga JI, Lafuente I (2008) Prevalence of knee and hip osteoarthritis and the appropriateness of joint replacement in an older population. Arch Intern Med 168:1576–1584. https://doi.org/10.1001/archinte.168.14.1576CrossRefPubMed

23.

Semciw AI, Pizzari T, Woodley S, Zacharias A, Kingsley M, Green RA (2018) Targeted gluteal exercise versus sham exercise on self-reported physical function for people with hip osteoarthritis (the GHOst trial–gluteal exercise for hip osteoarthritis): a protocol for a randomised clinical trial. Trials 19:511. https://doi.org/10.1186/s13063-018-2873-3CrossRefPubMedPubMedCentral

24.

Thorborg K, Petersen J, Magnusson SP, Hölmich P (2010) Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports 20:493–501. https://doi.org/10.1111/j.1600-0838.2009.00958.xCrossRefPubMed

25.

Uemura K, Takao M, Sakai T, Nishii T, Sugano N (2016) Volume increases of the gluteus maximus, gluteus medius, and thigh muscles after hip arthroplasty. J Arthroplasty 31:906–912.e.1. https://doi.org/10.1016/j.arth.2015.10.036CrossRefPubMed

26.

Ueno R (1971) Staging of osteoarthritis of the hip joint according to the roentgenographic findings. J Jpn Orthop Assoc 45:826–828

27.

Watelain E, Dujardin F, Babier F, Dubois D, Allard P (2001) Pelvic and lower limb compensatory actions of subjects in an early stage of hip osteoarthritis. Arch Phys Med Rehabil 82:1705–1711CrossRef

28.

Yoshimoto H, Sato S, Masuda T, Kanno T, Shundo M, Hyakumachi T, Yanagibashi Y (2005) Spinopelvic alignment in patients with osteoarthrosis of the hip: a radiographic comparison to patients with low back pain. Spine 30:1650–1657. https://doi.org/10.1097/01.brs.0000169446.69758.faCrossRefPubMed

29.

Zacharias A, Pizzari T, English DJ, Kapakoulakis T, Green RA (2016) Hip abductor muscle volume in hip osteoarthritis and matched controls. Osteoarthr Cartil 24:1727–1735. https://doi.org/10.1016/j.joca.2016.05.002CrossRef

30.

Zhang Y, Jordan JM (2010) Epidemiology of osteoarthritis. Clin Geriatr Med 26:355–369. https://doi.org/10.1016/j.cger.2010.03.001CrossRefPubMedPubMedCentral

Titel: Appropriate sites for the measurement of the cross-sectional area of the gluteus maximus and the gluteus medius muscles in patients with hip osteoarthritis
verfasst von: Daisuke Homma
Izumi Minato
Norio Imai
Dai Miyasaka
Yoshinori Sakai
Yoji Horigome
Hayato Suzuki
Hayato Shimada
Yoichiro Dohmae
Naoto Endo
Publikationsdatum: 17.07.2020
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 1/2021
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02535-2

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

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