Korean J Sports Med.  2014 Jun;32(1):65-67. 10.5763/kjsm.2014.32.1.65.

Muscular Injury of Iliacus and Gluteus Maximus after Mountain Climbing

• Jeon HS
• Woo YK
• Hwang SH
• Suh SP
• Lee JK

• KMID: 2288692
• DOI: http://doi.org/10.5763/kjsm.2014.32.1.65

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 follow-up, 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.

Keyword

Gluteal region; Mountaineering; Athletic injury

MeSH Terms

Athletic Injuries
Buttocks
Follow-Up Studies
Groin
Hip
Humans
Magnetic Resonance Imaging
Middle Aged
Mountaineering
Psoas Muscles
Rupture

Figure

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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.

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