Partial-thickness tears of the gluteus medius: rationale and technique for trans-tendinous endoscopic repair.

כותרתPartial-thickness tears of the gluteus medius: rationale and technique for trans-tendinous endoscopic repair.
Publication TypeJournal Article
Year of Publication2010
AuthorsDomb BG, Nasser R M, Botser I B
JournalArthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Volume26
Issue12
Pagination1697-705
Date Published2010 Dec
ISSN1526-3231
מילות מפתחBursitis, Debridement, Diagnosis, Differential, Endoscopy, Hip Injuries, Humans, Muscle, Skeletal, Tendons
Abstract

Tears in the gluteus medius and minimus tendons, often misdiagnosed as trochanteric bursitis, have recently emerged as an important cause of recalcitrant greater trochanter pain syndrome. Advances in endoscopic surgery of the hip have created opportunities to better evaluate and treat pathology in the peritrochanteric compartment. We reviewed the literature on trochanteric pain syndrome and gluteus medius tendon injuries. Existing techniques for endoscopic and open gluteus tendon repair and potential challenges in restoration of abductor function were analyzed. Partial-thickness undersurface tears of the gluteus medius were identified as a common pathologic entity. Although these tears are otherwise analogous to partial-thickness tears of the rotator cuff, the lack of arthroscopic access to the deep side of the gluteus medius tendon represents a unique technical challenge. To address the difficulty in visualizing and thus repairing undersurface tears of the gluteus medius, a novel endoscopic trans-tendinous repair technique was developed. The purposes of this article are to review the anatomy, pathology, and existing repair techniques of gluteus medius tendon tears and to describe the rationale and surgical steps for endoscopic trans-tendinous repair.

DOI10.1016/j.arthro.2010.06.002
Alternate JournalArthroscopy
PubMed ID20951538

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