gluteus medius injury
Introduction
Introduction Injury of the gluteus medius is one of the most common clinical lesions. The gluteus medius is located deep in the gluteus maximus, starting from the lateral side of the iliac crest and ending at the greater trochanter of the femur. Its innervation originates from the superior gluteal nerve of L4 and 5S1. This muscle can be abducted and inverted in the thigh, which is one of the main abductors of the hip. When standing on one foot, this muscle can ensure the stability of the pelvis in terms of level, and it has a great relationship to maintain normal standing and walking functions. The gluteus medius damage caused by drugs and mechanical stimulation can not be ignored.
Cause
Cause
The cause of gluteus medius injury: In daily life, the body's activities such as walking, squatting, bending and other movements, the gluteus medius plays an important role, it is easy to be damaged over time, local muscle contracture, scarring and Sticking to limit activity. People are constantly moving, and the injury site is constantly pulled and stimulated, causing local degenerative tissue to become congested and swollen, stimulating the surrounding body and blood vessels and causing symptoms.
Examine
an examination
Related inspection
Electromyography muscle tension test
Diagnosis of gluteus medius injury: local muscle contracture, scarring and adhesions occur, limiting activity.
Differential diagnosis of gluteus medius injury: other symptoms of gluteus medius injury: more slowly onset, waist and buttocks, discomfort, increased after exertion. A considerable number of patients, no local symptoms, only showed the discomfort of the affected side of the calf, and even cold, hair. It needs to be beaten or massaged to ease. When knees are stretched, the calves often have "cramping". Massage treatment in the calf can relieve symptoms
Diagnosis
Differential diagnosis
Differential diagnosis of gluteus medius injury: other symptoms of gluteus medius injury: more slowly onset, waist and buttocks, discomfort, increased after exertion. A considerable number of patients, no local symptoms, only showed the discomfort of the affected side of the calf, and even cold, hair. It needs to be beaten or massaged to ease. When knees are stretched, the calves often have "cramping". Massage in the calf can relieve symptoms. Some patients have unexplained sputum, heel, bottom numbness or discomfort when starting to walk, which can be alleviated after the activity. Standing too long, the path is too long, and the above symptoms can be aggravated, and intermittent claudication symptoms appear. No obvious tender points were found in the area. In severe cases, the calf has a touch of pain, but the hard pressing feels short-term comfort, affecting walking and sleep. The general clinical diagnosis is: calf restlessness syndrome, spinal stenosis, traumatic arthritis and the like. In some cases, it only shows pain and discomfort in the feet and ankles, numbness in the soles of the feet, pain in the calcaneus, tendon and metatarsophalangeal joints. The above symptoms are more dramatic at the beginning of the activity. After the activity is started, the symptoms are slightly relieved, and the symptoms are aggravated after exertion.
Diagnosis: local muscle contracture, scarring and adhesions, limiting activity.
