What are Hip Muscle Releases?
(Adductor tenotomy and psoas release, hip adductor lengthening, iliopsoas release lengthening, hamstring lengthening) The adductors pull on the bones and bring them closer to the middle of the body. They are located on the inside of the thighs. When they are too tight they make the legs scissors, which can pull the ball of the hip out of the socket. Muscle releases are an attempt to prevent the hips from dislocating. In an ambulatory child, this might be done because the feet often cross while walking. Selected muscles of the groin are cut and allowed to retract. Which muscles are cut depends on the exact problems the child is having, extent of spasticity, if the child ambulates or not, and also on surgeon preference. Some surgeons transfer the heads of some muscle groups more toward the rear to help extend the hip. This is more extensive surgery and has not been shown to be more effective than a simple release. The illiopsoas is a tendon that contributes significantly to spastic hip d
