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Endoscopic Repair of Gluteus Medius Tendon Tears of the Hip
Background Tears of the gluteus medius tendon at the greater trochanter have been termed ârotator cuff tears of the hip.â Previous reports have described the open repair of these lesions. Hypothesis Endoscopic repair of gluteus medius tears results in successful clinical outcomes in the short te...
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Published in: | The American journal of sports medicine 2009-04, Vol.37 (4), p.743-747 |
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Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background Tears of the gluteus medius tendon at the greater trochanter have been termed ârotator cuff tears of the hip.â Previous reports
have described the open repair of these lesions.
Hypothesis Endoscopic repair of gluteus medius tears results in successful clinical outcomes in the short term.
Study Design Case series; Level of evidence, 4.
Methods Of 482 consecutive hip arthroscopies performed by the senior author, 10 patients with gluteus medius tears repaired endoscopically
were evaluated prospectively. Perioperative data were analyzed on this cohort of patients. There were 8 women and 2 men, with
an average age of 50.4 years (range, 33â66 years). Patients had persistent lateral hip pain and abductor weakness despite
extensive conservative measures. Diagnosis was made by physical examination and magnetic resonance imaging and was confirmed
at the time of endoscopy in all cases. At the most recent follow-up, patients completed the Modified Harris Hip Score and
Hip Outcomes Score surveys.
Results At an average follow-up of 25 months (range, 19â38 months), all 10 patients had complete resolution of pain; 10 of 10 regained
5 of 5 motor strength in the hip abductors. Modified Harris Hip Scores at 1 year averaged 94 points (range, 84â100), and Hip
Outcomes Scores averaged 93 points (range, 85â100). There were no adverse complications after abductor repairs. Seven of 10
patients said their hip was normal, and 3 said their hip was nearly normal.
Conclusion With short-term follow-up, endoscopic repair of gluteus medius tendon tears of the hip appears to provide pain relief and
return of strength in select patients who have failed conservative measures. Further long-term follow-up is warranted to confirm
the clinical effectiveness of this procedure. |
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ISSN: | 0363-5465 1552-3365 |
DOI: | 10.1177/0363546508328412 |