Evaluation of the Gluteus Medius Muscle After a Pelvic Support Osteotomy to Treat Congenital Dislocation of the

Hip

by Muharrem Inan, Alpay Alkan, Ahmet Harma, and Kadir Ertem

J Bone Joint Surg AmVolume 87(10):2246-2252

October 1, 2005

©2005 by The Journal of Bone and Joint Surgery, Inc.

A T2-weighted magnetic resonance image showing measurement of gluteus medius length from the origin to the insertion preoperatively (left) and postoperatively (right).

Muharrem Inan et al. J Bone Joint Surg Am 2005;87:2246-2252

©2005 by The Journal of Bone and Joint Surgery, Inc.

A T2-weighted magnetic resonance image showing contours drawn around the gluteus medius muscles in a patient with a dislocated right hip.

Muharrem Inan et al. J Bone Joint Surg Am 2005;87:2246-2252

©2005 by The Journal of Bone and Joint Surgery, Inc.

Radiograph showing measurement of the valgus angulation of the proximal part of the femur (V).

Muharrem Inan et al. J Bone Joint Surg Am 2005;87:2246-2252

©2005 by The Journal of Bone and Joint Surgery, Inc.

Drawing showing application of the hybrid advanced Ilizarov fixator in association with the pelvic support osteotomy.

Muharrem Inan et al. J Bone Joint Surg Am 2005;87:2246-2252

©2005 by The Journal of Bone and Joint Surgery, Inc.

Graph showing the changes in the gluteus medius volume, compared with the muscle volume on the contralateral side, before and after the pelvic support osteotomy. & = the patient had atrophy

of the gluteus medius after the pelvic support osteotomy.

Muharrem Inan et al. J Bone Joint Surg Am 2005;87:2246-2252

©2005 by The Journal of Bone and Joint Surgery, Inc.