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Fig. 4B —23-year-old woman suffering from bilateral gluteal
contracture that is more severe on left side. Patient related history of
repeated injections in both buttocks since adolescence. Spin-echo T1-weighted
axial image (566/16) inferior in relation to A discloses atrophic left
gluteus maximus muscle (arrowhead), thickening and retraction of
distal tendon and iliotibial tract (black arrows) posterior to left
femur. Angle formed by lines of connecting ischia (black line) and
axis of femoral necks (double-headed arrows) measures 9° on right
side and 36° on left side. Exaggerated anteverted axis of left femoral
neck suggests external rotation of left proximal femur.
