A formula to predict patients’ gluteus medius muscle volume from hip joint geometry

2011 ◽  
Vol 16 (5) ◽  
pp. 447-451 ◽  
Author(s):  
Bernd Preininger ◽  
Kathrin Schmorl ◽  
Philipp von Roth ◽  
Tobias Winkler ◽  
Peter Schlattmann ◽  
...  
2014 ◽  
Vol 29 (6) ◽  
pp. 857-860
Author(s):  
Toshiaki SEKO ◽  
Tsuneo KUMAMOTO ◽  
Yui TAKAHASHI ◽  
Ryousuke KANEKO ◽  
Masashi TANAKA ◽  
...  

2013 ◽  
Vol 28 (7) ◽  
pp. 757-761 ◽  
Author(s):  
Maureen K. Dwyer ◽  
Kelly Stafford ◽  
Carl G. Mattacola ◽  
Timothy L. Uhl ◽  
Mauro Giordani

2014 ◽  
Vol 23 (1) ◽  
pp. 1-11 ◽  
Author(s):  
James W. Youdas ◽  
Kady E. Adams ◽  
John E. Bertucci ◽  
Koel J. Brooks ◽  
Meghan M. Nelson ◽  
...  

Context:No published studies have compared muscle activation levels simultaneously for the gluteus maximus and medius muscles of stance and moving limbs during standing hip-joint strengthening while using elastic-tubing resistance.Objective:To quantify activation levels bilaterally of the gluteus maximus and medius during resisted lower-extremity standing exercises using elastic tubing for the cross-over, reverse cross-over, front-pull, and back-pull exercise conditions.Design:Repeated measures.Setting:Laboratory.Participants:26 active and healthy people, 13 men (25 ± 3 y) and 13 women (24 ± 1 y).Intervention:Subjects completed 3 consecutive repetitions of lower-extremity exercises in random order.Main Outcome Measures:Surface electromyographic (EMG) signals were normalized to peak activity in the maximum voluntary isometric contraction (MVIC) trial and expressed as a percentage. Magnitudes of EMG recruitment were analyzed with a 2 × 4 repeated-measures ANOVA for each muscle (α = .05).Results:For the gluteus maximus an interaction between exercise and limb factor was significant (F3,75 = 21.5; P < .001). The moving-limb gluteus maximus was activated more than the stance limb's during the back-pull exercise (P < .001), and moving-limb gluteus maximus muscle recruitment was greater for the back-pull exercise than for the cross-over, reverse cross-over, and front-pull exercises (P < .001). For the gluteus medius an interaction between exercise and limb factor was significant (F3,75 = 3.7; P < .03). Gluteus medius muscle recruitment (% MVIC) was greater in the stance limb than moving limb when performing the front-pull exercise (P < .001). Moving-limb gluteus medius muscle recruitment was greater for the reverse cross-over exercise than for the cross-over, front-pull, and back-pull exercises (P < .001).Conclusions:From a clinical standpoint there is no therapeutic benefit to selectively activate the gluteus maximus and gluteus medius muscles on the stance limb by resisting sagittal- and frontal-plane hip movements on the moving limb using resistance supplied by elastic tubing.


2015 ◽  
Vol 31 (6) ◽  
pp. 410-417
Author(s):  
James W. Youdas ◽  
Kady E. Adams ◽  
John E. Bertucci ◽  
Koel J. Brooks ◽  
Meghan M. Steiner ◽  
...  

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hyonmin Choe ◽  
Naomi Kobayashi ◽  
Daigo Kobayashi ◽  
Shintaro Watanabe ◽  
Koki Abe ◽  
...  

Abstract Background Excessive external femoral rotation (FR) can functionally increase stem anteversion (SA) and is often observed at an early stage after surgery in revision total hip arthroplasty (THA). This study was conducted to investigate the prevalence of external FR, identify the factors associated with external FR, and determine the association of FR and other factors with hip dislocation in revision THA. Methods We enrolled 51 revision THA patients (55 hip cases). The patient background, angle of anatomical and functional SA, FR angle, sizes and densities of muscles around the hip joint, impingement distance, and consequence of postoperative hip dislocation were assessed by reviewing their medical history and imaging data that includes computed tomography (CT) scans before and after surgery. Results Forty-five hip cases (81.8%) showed external FR (mean 13.0°). External FR was significantly correlated with anatomical SA (r =  − 0.54) and increase in functional SA (r = 0.36), which was significantly correlated with impingement distance (r = 0.46). The independent factors associated with external FR in multivariate analysis were the anatomical SA, CT densities of the psoas, gluteus medius and maximus muscles, and 2-stage revision (R2 = 0.559). During follow-up period, eight cases of revision THA showed hip dislocation. FR, functional SA, impingement distance, CT density of psoas and gluteus medius muscle, body mass index, number of past operation, and ratio of 2-stage revision THA were significantly different between cases with dislocation and non-dislocation. The odds ratio of FR and impingement distance for hip dislocation was identified as 1.061(95% confidence interval (CI): 1.011–1.114) and 0.901 (95% CI 0.820–0.991), respectively. Conclusions Revision THA frequently causes an external FR that functionally increases the SA and impingement risk, particularly in hips with 2-stage revision with psoas and gluteus medius muscle atrophy. Patients who have undergone revision THA and have an excessive external FR may require careful monitoring for possible hip dislocation due to hip joint instability and impingement.


2010 ◽  
Vol 7 (02) ◽  
pp. 97-101 ◽  
Author(s):  
Carl Fredrik Ihler ◽  
Tobias Revold ◽  
Stig Larsen ◽  
Birgitta Essén-Gustavsson

Sign in / Sign up

Export Citation Format

Share Document