Etiology and diagnosis of gluteal muscle contracture in research and development.docVIP

 PAGE \* MERGEFORMAT 29 Etiology and diagnosis of gluteal muscle contracture in research and development Author: Lu Hao-hao Liu Guohui, Yang Shu-hua Gluteal muscle contracture (gluteal muscles contracture, GMC) is a combination of causes gluteal muscle and fascia fibrosis, contracture, resulting in hip adduction, internal rotation dysfunction, thus demonstrating specific gait and signs of clinical syndrome. Valderrama first reported in 1969, the domestic horse Cheng Xuan, etc. from the first time in 1978, a more systematic coverage of its pathological changes occur as a part of the hip muscle fibers scarring, stretching dysfunction. In recent years, the disease is receiving increasing attention clinicians, its causes and diagnosis of constant depth, there have been many new advances. A cause 1.1 intramuscular injection theory Many studies have shown that the incidence of gluteal muscle contracture in children with hip and intramuscular related to the injection drugs, primarily penicillin, streptomycin, gentamicin, vitamins and other antipyretic analgesics. Gluteal muscle after drug injection, along the muscle bundle fibers, along the direction of the proliferation of muscle interval, repeated drug stimulation and allow partial formation of needle puncture injury lump, that is, the performance of muscle fibrous tissue inflammation. Richard J and Sheridan GW 〔1〕 〔2〕 that children meager gluteal soft tissue, when a large number of injection or multiple injections of small volume, due to the slow drug absorption, coupled with edema and inflammation drug reaction, leading to increased pressure in the hip muscle gap, ischemic muscle compression or chemical myositis leading to fibrosis. 2% of them do solvent benzyl alcohol penicillin potassium salt is the most dangerous factor. 2% benzyl alcohol penicillin on the muscles have a strong stimulating effect, in the local hemolysis can cause a strong reaction, the release of metabolic