Gluteus medius tears of the hip: a comprehensive approach

Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing...

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Bibliographic Details
Published in:The Physician and sportsmedicine 2019-01, Vol.47 (1), p.15-20
Main Authors: LaPorte, Collin, Vasaris, Marci, Gossett, Leland, Boykin, Robert, Menge, Travis
Format: Article
Language:English
Subjects:
Arthroscopy
Femur
Gait
Gluteus medius tears
hip arthroscopy
Hip Injuries - diagnosis
Hip Injuries - surgery
Hip Injuries - therapy
Humans
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - injuries
Muscle, Skeletal - surgery
Pain - diagnosis
Pain - etiology
Syndrome
Tendinopathy - diagnosis
Tendinopathy - surgery
Tendinopathy - therapy
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Summary:Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing is present in many cases of GTPS. Pathology of the gluteus medius can result in significant hip pain, loss of motion, and decreased function. Affected patients characteristically have symptoms including lateral hip pain and a Trendelenburg gait, which may be refractory to conservative management such as non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, and injections. In these cases, both open and arthroscopic repair techniques have been described, with recent literature demonstrating excellent patient-reported outcomes. We present a comprehensive review of gluteus medius tears including relevant anatomy, clinical evaluation, diagnosis, and treatment options.
ISSN:0091-3847
2326-3660
DOI:10.1080/00913847.2018.1527172