Abstract
In order to understand the role of the gluteus medius muscle (GM) in hip joint osteoarthritis, the objective of this study was to analyze
the correlation between morphometric data of GM samples with osteoarthritis scores
of ipsilateral and contralateral hips in 41 patients. GM samples obtained during unilateral
hip replacement surgery were used to evaluate muscle fibers in the cross-sectional
area (CSA) and other features indicative for muscle aging. Clinical symptoms were
assessed by the Lequesne pain score. Hip osteoarthritis was graded by the Kellgren
score and by measuring the sum joint space width (sumJSW) at three different articular
locations and minimal JSW in a. p. radiographs. Varying degrees of GM muscle atrophy
correlated with the pain score; pain score also correlated with radiographic signs
of osteoarthritis. GM CSA was significantly correlated with all radiographic signs
of the contralateral hip, but only with the sumJSW in the ipsilateral hip. It can
be concluded that a weak GM may be the result of ipsilateral osteoarthitis, but may
especially predispose the contralateral hip to develop osteoarthritis. This can be
associated with an impaired GM capacity to avoid the shock impact in the load transfer
during gait. Muscle strengthening is therefore recommended.
Key words
hip osteoarthritis - muscle histology - muscle fiber area - Kellgren index - joint
space width
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Prof. Hans-Joachim Appell
Physiology and Anatomy
German Sport University
Carl Diem Weg 6
50933 Cologne
Germany
Phone: + 49 221 49 82 54 30
Email: appell@dshs-koeln.de
