Treatment of internal rotation gait due to gluteus medius and minimus overactivity in cerebral palsy: anatomical rationale of a new surgical procedure and preliminary results in twelve hips

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
B Joseph

Abstract

Spastic overactivity of the anterior fibers of the gluteus medius and minimus can result in an internal rotation gait associated with excessive hip and pelvic rotation. The currently advocated operation for this problem can result in weakness of hip abduction. The anatomical features of the gluteal muscles suggest that this gait abnormality can be corrected by selectively reducing the internal rotator function of the anterior fibers of the glutei without disturbing the abductor fibers. Such an operative procedure was devised and performed on 12 hips. The gait improved in all hips without any demonstrable weakness of the hip abductor power.

References

Nov 1, 1977·Pediatric Clinics of North America·L T Staheli

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Citations

Aug 13, 2013·International Journal of Medical Sciences·Ali Al KaissiFranz Grill
Jan 23, 2008·Journal of Pediatric Orthopedics·Benjamin Joseph
Jan 29, 2019·HRB Open Research·Rory O'Sullivan, Damien Kiernan

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