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Gluteal fibrosis.

F Pipino, G Maiorano, G De Giorgi

    Italian Journal of Orthopaedics and Traumatology
    |April 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Gluteal fibrosis involves significant teno-fascial changes, appearing more frequently than previously thought. These primary fibrotic changes lead to secondary muscle alterations, including atrophy and necrosis.

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    Area of Science:

    • Histopathology
    • Musculoskeletal Diseases

    Background:

    • Gluteal fibrosis is increasingly recognized as a distinct clinical entity.
    • Previous reports may underestimate the condition's prevalence.

    Purpose of the Study:

    • To conduct a histological examination of gluteal fibrosis.
    • To elucidate the primary pathological changes in this condition.

    Main Methods:

    • Histological analysis of affected tissues.
    • Microscopic examination of teno-fascial and muscle components.

    Main Results:

    • Identified significant fibrotic thickening and regressive changes in the teno-fascial component, forming pseudocystic cavities and leading to fibroadipose/adipose tissue substitution.
    • Observed localized muscle changes near the tendon, including atrophy and patchy necrosis, with eventual fibrous or fibroadipose substitution.

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  • Teno-fascial changes are more extensive and appear primary compared to secondary muscle alterations.

    • Conclusions:

    • Gluteal fibrosis is characterized by primary teno-fascial fibrosis with secondary muscle changes.
    • The histological findings support the classification of the syndrome as primary teno-fascial fibrosis.