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Jeon, Woo, Hwang, Suh, and Lee: Muscular Injury of Iliacus and Gluteus Maximus after Mountain Climbing
Case Report

Korean J Sports Med 2014;32(1):65-67.

Published online: 17 January 2014

DOI: https://doi.org/10.5763/kjsm.2014.32.1.65

Muscular Injury of Iliacus and Gluteus Maximus after Mountain Climbing

Ho Seung Jeon, Young Kyun Woo, Suk Ha Hwang, Seung Pyo Suh, Joon Kyung Lee

Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, Korea

Correspondence: Seung Pyo Suh Department of Orthopedic Surgery, Sung-Ae Hospital, Yeouidaebang-ro 53ga-gil, Yeongdeungpo-gu, Seoul 150-960, Korea Tel: +82-2-840-7235, Fax: +82-2-840-7755 E-mail: arcseo@hanmail.net

Received 12 February 2014       Revised 30 April 2014       Accepted 7 May 2014

Copyright © 2014 The Korean Society of Sports Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Iliacus muscle is the strongest hip flexor of gluteal region that acts with psoas muscle, whereas gluteus maximus muscle is the largest muscle engaged in extension and external rotation of the hip. Mountaineering requires strong contractile force of both flexor and extensor around the hip. A 57-year-old man presented to our hospital with severe pain in left groin after mountaineering for 5 hours without a break. Magnetic resonance imaging revealed incomplete rupture of iliacus muscle and strain of gluteus maximus muscle. Conservative treatment was done. At 3 months of followup, he returned to normal life. If we are going to climb mountain, it is important to start warming up with some stretches, take a break while climbing, and use climbing sticks. There have been no report about athletic injury of both iliacus and gluteus maximus after mountaineering. So we report this case with a review of the literature.

Keywords: Gluteal region, Mountaineering, Athletic injury

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Fig. 1.
Magnetic resonance imaging of the pelvis shows incomplete rupture of left iliacus muscle with hematoma (white arrow heads) and strain of gluteus maximus muscle (white arrow) on (A) T2-weighted coronal image, (B) sagittal image and (C) axial image.
kjsm-32-65f1.tif
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