Multivariate analysis of the relationship between gluteal muscle contracture and coxa valga

BMC Musculoskelet Disord. 2021 Jun 19;22(1):561. doi: 10.1186/s12891-021-04447-7.


Background: Gluteal muscle contracture (GMC) is a disease characterized by the limited function of the hip joint, knee pain, and abnormal gait. There is a lack of research on the effect of GMC on the hip joint structure to date. This study aims to analyze the association between GMC and the deformity of the hip and pelvis.

Methods: Standing anteroposterior pelvic radiographs of 214 patients (152 with gluteal muscle contracture and 62 without gluteal muscle contracture) were retrospectively collected. Neck-shaft angle, lateral center edge angle, Tönnis angle, femoral head coverage index, acetabular depth, Sacro-femoral-pubic angle, and obturator foramen ratio were respectively measured and included in the following statistical analysis. The collected data were analyzed using logistical regression and multiple linear regression to explore the factors influencing coxa valga and SFP angle.

Results: GMC was identified as a common factor significantly associated with coxa valga and increased SFP angle. There is a difference of risk factors in logistic regression for coxa valga between the left and right sides.

Conclusion: GMC is a significant risk factor for coxa valga and increased SFP angle. Given that GMC can cause coxa valga and likely alter the pelvis's position, GMC should be paid attention to and treated early.

Keywords: Coxa valga; Gluteal fibrosis; Gluteal muscle contracture; Neck-shaft angle; Pelvic tilt; Sacro-femoral-pubic angle.

MeSH terms

  • Contracture* / diagnostic imaging
  • Coxa Valga*
  • Humans
  • Multivariate Analysis
  • Muscles
  • Retrospective Studies