Abstract
Although rare, sports related injuries to the gluteus maximus (GM) and adjacent structures can cause pain and disability in athletes. Trauma, impingement with adjacent bony structures and overuse are among the most common etiologies for pathologic processes at this region. MRI is the modality of choice for imaging of gluteal region, which has a complex anatomy and physiology. Multiple pathologic processes take place at the GM and surroundings and knowledge of the imaging aspects of each of these conditions is important for patient management. In this chapter, after a brief review of key anatomical and physiologic aspects, the imaging findings of various sport related injuries of the gluteal region are presented.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Testut L (Léo). Traité d’anatomie humaine [Internet]. Paris: Doin; 1899. 958 p.
Poirier P, Charpy A. Traité d’anatomie humaine. Publié sous la direction de P. Poirier et A. Charpy [Internet]. Paris: Masson; 1899 [cited 2013 Feb 3]. 804 p.
David V, Thambiah J, Kagda FHY, Kumar VP. Bilateral gluteal compartment syndrome. a case report. J Bone Joint Surg Am. 2005;87(11):2541–5.
Grimaldi A, Richardson C, Durbridge G, Donnelly W, Darnell R, Hides J. The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Man Ther. 2009;14(6):611–7.
Pfirrmann CWA, Chung CB, Theumann NH, Trudell DJ, Resnick D. Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae—MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 2001;221(2):469–77.
Stoller DW. Magnetic resonance imaging in orthopaedics and sports medicine. 2Bde. Lippincott Williams & Wilkins, USA; 2007. 1112 p.
Taylor BC, Dimitris C, Tancevski A, Tran JL. Gluteal compartment syndrome and superior gluteal artery injury as a result of simple hip dislocation: a case report. Iowa Orthop J. 2011;31:181–6.
Criswell TL, Corona BT, Ward CL, Miller M, Patel M, Wang Z, et al. Compression-induced muscle injury in rats that mimics compartment syndrome in humans. Am J Pathol. 2012;180(2):787–97.
Kumar V, Saeed K, Panagopoulos A, Parker PJ. Gluteal compartment syndrome following joint arthroplasty under epidural anaesthesia: a report of 4 cases. J Orthop Surg Hong Kong. 2007;15(1):113–7.
Gwinn DE, Morgan RA, Kumar AR. Gluteus maximus avulsion and closed degloving lesion associated with a thoracolumbar burst fracture. a case report. J Bone Joint Surg Am. 2007;89(2):408–12.
Cai J-H, Gan L-F, Zheng H-L, Li H. Iliac hyperdense line: a new radiographic sign of gluteal muscle contracture. Pediatr Radiol. 2005;35(10):995–7.
Ye B, Zhou P, Xia Y, Chen Y, Yu J, Xu S. New minimally invasive option for the treatment of gluteal muscle contracture. Orthopedics. 2012;35(12):e1692–8.
Gosain AK, Yan J-G, Aydin MA, Das DK, Sanger JR. The vascular supply of the extended tensor fasciae latae flap: how far can the skin paddle extend? Plast Reconstr Surg. 2002;110(7):1655–61 .discussion 1662–1663
Mellado JM, Pérez del Palomar L, Díaz L, Ramos A, Saurí A. Long-standing Morel-Lavallée lesions of the trochanteric region and proximal thigh: MRI features in five patients [Internet]. AJR Am J Roentgenol. 2004;182(5):1289–94.
Krishnamurthy G, Connolly BL, Narayanan U, Babyn PS. Imaging findings in external snapping hip syndrome. Pediatr Radiol. 2007;37(12):1272–4.
Lewis CL. Extra-articular snapping hip: a literature review. Sports Heal. 2010;2(3):186–90.
Spina AA. External coxa saltans (snapping hip) treated with active release techniques®: a case report. J Can Chiropr Assoc. 2007;51(1):23–9.
Jacobsen JS, Thorborg K, Søballe K, Ulrich-Vinther M. Eccentric hip abductor weakness in patients with symptomatic external snapping hip. Scand J Med Sci Sports. 2012;22(6):e140–6.
Battaglia M, Guaraldi F, Monti C, Vanel D, Vannini F. An unusual cause of external snapping hip. J Radiol Case Reports. 2011;5(10):1–6.
Guillin R, Marchand AJ, Roux A, Niederberger E, Duvauferrier R. Imaging of snapping phenomena. Br J Radiol. 2012;85(1018):1343–53.
Pelsser V, Cardinal E, Hobden R, Aubin B, Lafortune M. Extraarticular snapping hip: sonographic findings. AJR Am J Roentgenol. 2001;176(1):67–73.
Winston P, Awan R, Cassidy JD, Bleakney RK. Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Am J Sports Med. 2007;35(1):118–26.
Deslandes M, Guillin R, Cardinal E, Hobden R, Bureau NJ. The snapping iliopsoas tendon: new mechanisms using dynamic sonography. AJR Am J Roentgenol. 2008;190(3):576–81.
Teixeira PAG, Lecocq S, Louis M, Aptel S, Raymond A, Blum A. Ressaut Latéral de la Hanche. Cours thématique de la Société d’Imagerie Musculo Squelettique (SIMS) 2013 – Tendon et son environnement. Sauramps Médical, France; 2013. p. 329–36.
Segal NA, Felson DT, Torner JC, Zhu Y, Curtis JR, Niu J, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988–92.
De Maeseneer M, Gosselin R, De Ridder F, Shahabpour M, Vanderdood K. MR imaging changes in the trochanteric area of asymptomatic individuals: a potential for misdiagnosis of pain in the trochanteric region. Eur J Radiol. 2009;72(3):480–2.
Blankenbaker DG, Ullrick SR, Davis KW, De Smet AA, Haaland B, Fine JP. Correlation of MRI findings with clinical findings of trochanteric pain syndrome. Skeletal Radiol. 2008;37(10):903–9.
Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 2009;108(5):1662–70.
Hottat N, Fumière E, Delcour C. Calcific tendinitis of the gluteus maximus tendon: CT findings. Eur Radiol. 1999;9(6):1104–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Gondim Teixeira, P.A. (2017). Gluteus Maximus and Surrounding Muscles Injuries. In: Roger, B., Guermazi, A., Skaf, A. (eds) Muscle Injuries in Sport Athletes. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-43344-8_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-43344-8_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43342-4
Online ISBN: 978-3-319-43344-8
eBook Packages: MedicineMedicine (R0)