Anatomy & Physiology: Current Research
Open Access

Abstract

Limitation in Flexion of Both Hips in Three Boys Cured by Section of Bilateral Accessory Tendons of Gluteus Maximus

Ameen O and Faraj AA

Introduction: Anomalies of paediatric hip muscles are rare events, but they can cause significant problems in daily activities. Hence, their identification and treatment are essential.

Patients: Three boys presented with bilateral limitation of hip flexion interfering with sitting and attending school. Biology and radiology were normal. Exploration of the gluteus tendons revealed an accessory tendon of the gluteus maximus inserted into the inter-trochanteric line.

Results: Surgical release was curative in all cases. The child felt happy to sit and use the hips as normal.

Conclusion: Anatomic variation of gluteus maximus has to be kept in mind when flexion of the hip is limited in children in the absence of radiological abnormalities. Surgical release is curative.