Fiber type composition of the hip abductor muscles

Year 2021, Volume: 15 Issue: 3, 179 - 188, 31.12.2021

Natasha Flack , Stephanie J. Woodley Helen D. Nicholson

Abstract

Objectives: The hip abductor muscles; gluteus medius, gluteus minimus and tensor fasciae latae, play an important role in pelvic stabilization. Morphological changes occur in these muscles as a consequence of chronic musculoskeletal conditions (e.g. osteoarthritis), aging, and following hip joint replacement. Functional studies show unique activation profiles of the different compartments of gluteus medius and gluteus minimus; however, little is known of the fiber type composition of these muscles, which is an important consideration for understanding their functional and metabolic capabilities.
Methods: Eight transverse muscle samples from each compartment of gluteus medius and gluteus minimus, and two samples from tensor fasciae latae were harvested from 11 cadavers, and processed for immunohistochemistry. Fast-twitch muscle fibers were stained with the MY-32 antibody to estimate the proportion of type II fibers comprising the muscles.
Results: Individual muscle fiber composition profiles demonstrated that gluteus medius and gluteus minimus were similar in composition, supporting a predominantly postural function. Tensor fasciae latae had a higher proportion of type II fibers, suggesting a more phasic functional role. No differences were observed between compartments for gluteus medius, but the anterior compartment of gluteus minimus had a significantly higher proportion of type II fibers than the posterior.
Conclusion: This study provides anatomical data for the fiber type composition profiles of the hip abductor muscles, contributing to the understanding of their metabolic and contractile capabilities. These data may be valuable when considering changes that occur at the cellular level in the hip abductor muscles under pathological conditions and with aging.

Keywords

fiber type, gluteus medius, gluteus minimus, skeletal muscle

References

• Kingzett-Taylor A, Tirman PFJ, Feller J, McGann W, Prieto V, Wischer T, Cameron JA, Cvitnaic O, Genant HK. Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings. AJR Am J Roentgenol 1999;173:1123–6.
• Bird PA, Oakley SP, Shnier R, Kirkham BW. Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum 2001;44:2138–45.
• Woodley SJ, Nicholson HD, Livingstone V, Doyle TC, Meikle GR, Macintosh JE, Mercer SR. Lateral hip pain: findings from magnetic resonance imaging and clinical examination. J Orthop Sports Phys Ther 2008;38:313–28.
• Sutter R, Kalberer F, Binkert CA, Graf N, Pfirrmann CW, Gutzeit A. Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle. Skeletal Radiol 2013;42:627–33.
• Grimaldi A, Richardson C, Stanton W, Durbridge G, Donnelly W, Hides J. The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Man Ther 2009;14:605–10.
• Zacharias A, Pizzari T, English DJ, Kapakoulakis T, Green RA. Hip abductor muscle volume in hip osteoarthritis and matched controls. Osteoarthritis Cartilage 2016;24:1727–35.
• Kivle K, Lindland E, Mjaaland KE, Pripp AH, Svenningsen S, Nordsletten L. The gluteal muscles in end-stage osteoarthritis of the hip: intra- and interobserver reliability and agreement of MRI assessments of muscle atrophy and fatty degeneration. Clin Radiol 2018; 73:675.e17–24.
• Zacharias A, Green RA, Semciw A, English DJ, Kapakoulakis T, Pizzari T. Atrophy of hip abductor muscles is related to clinical severity in a hip osteoarthritis population. Clin Anat 2018;31:507– 13.
• Pfirrmann CWA, Notzli HP, Dora C, Hodler J, Zanetti M. Abductor tendons and muscles assessed at MR imaging after total hip arthroplasty in asymptomatic and symptomatic patients. Radiology 2005;235:969–76.
• Engelken F, Wassilew GI, Kohlitz T, Brockhaus S, Hamm B, Perka C, Deiderichs UG. Assessment of fatty degeneration of the gluteal muscles in patients with THA using MRI: reliability and accuracy of the Goutallier and quartile classification systems. J Arthroplasty 2014;29:149–53.
• Gottschalk F, Kourosh S, Leveau B. The functional anatomy of tensor fasciae latae and gluteus medius and minimus. J Anat 1989;166: 179–89.
• Peeraer L, Aeyels B, Van der Perre G. Development of EMG-based mode and intent recognition algorithms for a computer-controlled above-knee prosthesis. J Biomed Eng 1990;12:178–82.
• Buchanan TS, Lloyd DG. Muscle activation at the human knee during isometric flexion-extension and varus-valgus loads. J Orthop Res 1997;15:11–7.
• Dubois MH, Herrman U, Bourbonnais D, Smith AM, Gravel D. Correspondence between the directional patterns of hip muscle activation and their mechanical action in man. J Electromyogr Kinesiol 1997;7:141–8.
• Dostal WF, Soderberg GL, Andrews JG. Actions of hip muscles. Phys Ther 1986;66:351–61. 16. Beck M, Sledge JB, Gautier E, Dora CF, Ganz R. The anatomy and function of the gluteus minimus muscle. J Bone Joint Surg Br 2000; 82:358–63.
• Liu MQ, Anderson FC, Schwartz MH, Delp SL. Muscle contributions to support and progression over a range of walking speeds. J Biomech 2008;41:3243–52.
• Soderberg GL, Dostal WF. Electromyographic study of three parts of the gluteus medius muscle during functional activities. Phys Ther 1978;58:691–6.
• Semciw AI, Pizzari T, Murley GS, Green RA. Gluteus medius: an intramuscular EMG investigation of anterior, middle and posterior segments during gait. J Electromyogr Kinesiol 2013;23:858–64.
• Semciw AI, Green RA, Murley GS, Pizzari T. Gluteus minimus: an intramuscular EMG investigation of anterior and posterior segments during gait. Gait Posture 2014;39:822–6.
• Lyons K, Perry J, Gronley JK, Barnes L, Antonelli D. Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. An EMG study. Phys Ther 1983;63:10: 1597–605.
• Jaegers SM, Arendzen JH, de Jongh HJ. An electromyographic study of the hip muscles of transfemoral amputees in walking. Clin Orthop Relat Res 1996;(328):119–28.
• Ganderton C, Pizzari T, Harle T, Cook J, Semciw A. A comparison of gluteus medius, gluteus minimus and tensor facia latae muscle activation during gait in post-menopausal women with and without greater trochanteric pain syndrome. J Electromyogr Kinesiol 2017; 33:39–47.
• Flack NAMS, Nicholson HD, Woodley SJ. The anatomy of the hip abductor muscles. Clin Anat 2014;27:241–53.
• Moore CW, Beveridge TS, Rice CL. Fiber type composition of the palmaris brevis muscle: implications for palmar function. J Anat 2017; 231:626–33.
• Sirca A, Susec-Michieli M. Selective type II fiber muscular atrophy in patients with osteoarthritis of the hip. J Neurol Sci 1980;44:149–59.
• Takano Y, Kobayashi H, Yuri T, Yoshida S, Naito A, Kiyoshige Y. Fat infiltration in the gluteus minimus muscle in older adults. Clin Interv Aging 2018;13:1011–7.
• Kim SY, Lunn DD, Dyck RJ, Kirkpatrick LJ, Rosser BW. Fiber type composition of the architecturally distinct regions of human supraspinatus muscle: a cadaveric study. Histol Histopathol 2013;28: 1021–8.
• Crosado B, Loffler S, Ondruschka B, Zhang M, Zwirner J, Hammer N. Phenoxyethanol-based embalming for anatomy teaching: an 18 years’ experience with Crosado embalming at the University of Otago in New Zealand. Anat Sci Edu 2019;13:778–93.
• Nicholson HD, Samalia L, Gould M, Hurst PR, Woodroffe M. A comparison of different embalming fluids on the quality of histological preservation in human cadavers. European Journal of Morphology 2005;42:178–84.
• Harris AJ, Fitzsimons RB, McEwan JC. Neural control of the sequence of expression of myosin heavy chain isoforms in foetal mammalian muscles. Development 1989;107:751–69.
• Gundersen HJ, Bendtsen TF, Korbo L, Marcussen N, Moller A, Nielsen K, Nyengaard JR, Pakkenberg B, Sorensen FB, Vesterby A, West MJ. Some new, simple and efficient stereological methods and their use in pathological research and diagnosis. APMIS 1988;96:379– 94.
• Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994;(304):78–83.
• Burke RE, Levine DN, Tsairis P, Zajac FE. Physiological types and histochemical profiles in motor units of the cat gastrocnemius. J Physiol 1973;234:3:723–48.
• Cornwall J, Stringer MD, Duxson M. Functional morphology of the thoracolumbar transversospinal muscles. Spine 2011;36:e1053–61.
• Staron RS. Human skeletal muscle fiber types: delineation, development, and distribution. Can J Appl Physiol 1997;22:307–27.
• Johnson MA, Polgar J, Weightman D, Appleton D. Data on the distribution of fiber types in thirty-six human muscles. An autopsy study. J Neurol Sci 1973;18:111–29.
• Kumagai M, Shiba N, Higuchi F, Nishimura H, Inoue A. Functional evaluation of hip abductor muscles with use of magnetic resonance imaging. J Orthop Res 1997;15:888–93.
• Al-Hayani A. The functional anatomy of hip abductors. Folia Morphol 2009;68:98–103.
• Tomonaga M. Histochemical and ultrastructural changes in senile human skeletal muscle. J Am Geriatr Soc 1977;25:125–31.
• Lexell J, Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci 1988;84:275–294.
• Larsson L. Morphological and functional characteristics of the ageing skeletal muscle in man. A cross-sectional study. Acta Physiol Scand Suppl 1978;457:1–36.
• Purves-Smith FM, Sgarioto N, Hepple RT. Fiber typing in aging muscle. Exerc Sport Sci Rev 2014;42:45–52.
• Behan WMH, Cossar DW, Madden HA, McKay IC. Validation of a simple, rapid, and economical technique for distinguishing type 1 and 2 fibers in fixed and frozen skeletal muscle. J Clin Pathol 2002;55:375–80.
• Kriketos AD, Baur LA, O’Connor J, Carey D, King S, Caterson ID, Storlien LH. Muscle fiber type composition in infant and adult populations and relationships with obesity. Int J Obes Relat Metab Disord 1997;21:796–801.
• Boyd-Clark LC, Briggs CA, Galea MP. Comparative histochemical composition of muscle fibers in a pre- and a postvertebral muscle of the cervical spine. J Anat 2001;199:709–16.
• Havenith MG, Visser R, Schrijvers-van Schendel JM, Bosman FT. Muscle fiber typing in routinely processed skeletal muscle with monoclonal antibodies. Histochemistry 1990;93:497–9.