PMC4719227_01
Preoperative clinical photograph of patient showing typical "frog leg position" on attempted squatting
JOCR-3-19-g001.jpg
PMC4719227_01_JOCR-3-19-g001.jpg
F1
Inspection showed a depressed groove over the skin of the buttock running along the course of the gluteus maximus muscle bilaterally, and no skin puckering was observed There was a typical restriction of movement, so that both hips could not be flexed or extended in the usual saggital plane (between 30  to 90 ) with the hip in neutral position, adduction was limited and squatting was possible in typical frog leg position (Fig. 1).
Postoperative photo showing patient being able to squat after bilateral gluteal release
JOCR-3-19-g002.jpg
PMC4719227_01_JOCR-3-19-g002.jpg
F2
There was remarkable recovery with patient able to squat and sit cross-legged within 4 weeks of surgery with hip flexion of 120  and hip adduction being 10  (Fig. 2).