gluteal myoclonus

Gluteal myoclonus is a clinical syndrome caused by multiple causes of degeneration and contracture of the gluteal muscle and its fascial fibers, which results in the characteristic gait and signs of limited hip joint function.

Causes

1, injection factors, 2, childhood susceptibility factors, 3, scarring

4, genetic factors, 5, trauma, infection and other factors, 6, idiopathic

7, gluteal myofascial intercompartmental syndrome sequelae

Clinical manifestations

1, hip dysfunction

The patient's hip joint rotation and internal retraction activities are limited. The patient's hip joint internal rotation and internal retraction activities are limited. When standing, the lower limbs are externally rotated and cannot be completely brought together. Walking is often characterized by an outward eight, swaying gait, and jumping at a fast pace. When sitting down, the legs cannot be brought together, the hips are separated in the frog position, and it is difficult for one thigh to rest on the other thigh (cross-legged test). In the light cases, the knees are separated when squatting, and then brought together after squatting (circle sign). In severe cases, the patient can only squat in the abductor and adductor position, and when squatting, both hip joints are in the abductor and adductor position, the knees can not be brought together, the heels do not touch the ground, and a frog-like pattern is observed.

2. Pelvic variant

The long course of the disease and the degree of severity of the disease can have the bottom of the acetabulum convex to the pelvis, forming Otto's pelvis. Children with small gluteal myoclonus have hypertrophy of the greater trochanteric epiphysis. Children with bilateral asymmetric gluteal myoclonus may have pelvic tilt and secondary lumbar scoliosis. The anterior superior iliac spine is lower on the severe side than on the light side, and the umbilical-ankle distance is longer on the severe side than on the light side, whereas the distance from the greater trochanter to the ankle is equal on both sides.

Treatment

Our hospital specializes in the treatment of gluteal myoclonus, the use of our hospital Professor Zhang Hongmin original "gluteal myoclonus closed release" treatment effect is quite good, the majority of patients have been unanimously praised! The advantages of our gluteal muscle contracture closed release surgery are as follows: compared with the "big knife surgery" used by foreign hospitals, which leaves big scars affecting the aesthetics, the gluteal muscle contracture closed release surgery used by our hospital has an incision of only 3mm, which is sufficiently loosened, and the effect of the treatment is remarkable. Short operation time: 1~2 minutes working time on one side of the scalpel; small trauma: only two incisions of about 3mm on one side of the buttock, only a 3mm wide working channel is peeled off to the anterior part of the greater trochanter; complete release: shallow and deep contracture tissue can be completely released; less pain: no pain during the whole operation; fast recovery: 4 days after the operation to return to the hospital and resume the normal life; good effect: no scar after the operation, walking and living like a normal person; safe operation. The operation is safe and reliable: the operation is safe and simple, easy to master, and not easy to damage the nerves.