A Comparison of Outcomes After Endoscopic Repair of Partial- Versus Full-Thickness Tears of the Gluteus Medius Tendon

Thaunat, Mathieu; Vincent, Benoit; Caron, Étienne; Ingale, Pramod

doi:10.1016/j.arthro.2021.02.020

Cited by 15 publications

(5 citation statements)

References 30 publications

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“…This may be explained in part by the fact that the mean age of patients in both groups was >50 years, which is significantly higher than the mean age of a typical hip arthroscopy cohort, likely because gluteus medius and minimus tears typically occur in older women. 29 It is known that older patients may still benefit from hip arthroscopy in the absence of osteoarthritis; however, they have higher rates of conversion to THA and may have less improvement postoperatively compared with younger patients. 10,14,18 Interestingly, there were no revision procedures in the simultaneous labral and gluteus repair cohort versus a 4.4% revision rate in the labral repair alone cohort.…”

Section: Discussionmentioning

confidence: 99%

Results of Endoscopic Labral Repair With Concomitant Gluteus Medius and/or Minimus Repair Compared With Outcomes of Labral Repair Alone: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-up

et al. 2023

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Background: There is a paucity of information available to clinicians on outcomes of patients undergoing endoscopic surgery for labral repairs and femoroacetabular impingement syndrome with simultaneous repair of the gluteus medius and/or minimus muscles. Purpose: To determine whether patients with labral tears and concomitant gluteal pathology who undergo simultaneous endoscopic labral and gluteus medius and/or minimus repair experience similar outcomes to patients with isolated labral tears who undergo endoscopic labral repair alone. Study Design: Cohort study; Level of evidence, 3. Methods: A matched retrospective comparative cohort study was performed. Patients who underwent gluteus medius and/or minimus repair with concomitant labral repair between January 2012 and November 2019 were identified. These patients were matched in a 1:3 ratio by sex, age, and body mass index (BMI) to patients who underwent labral repair alone. Preoperative radiographs were assessed. Patient-reported outcomes (PROs) were assessed preoperatively and 2 years postoperatively. PRO measures included the Hip Outcome Score Activities of Daily Living and Sports subscales, modified Harris Hip Score, 12-Item International Hip Outcome Tool, and visual analog scales for pain and satisfaction. Published labral repair minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) thresholds were utilized for these measures. Results: A total of 31 patients who underwent gluteus medius and/or minimus repair with concomitant labral repair (27 female, 4 male; age, 50.8 ± 7.3 years; BMI, 27.9 ± 5.2) were matched with 93 patients who underwent labral repair alone (81 female, 12 male; age, 50.9 ± 8.1 years; BMI, 28.5 ± 6.2). There were no significant differences in sex ( P > .99), age ( P = .869), or BMI ( P = .592); preoperative radiographic measurements; or preoperative or 2-year postoperative PRO scores ( P≥ .081). Changes between preoperative and 2-year postoperative PRO scores were significantly different for both groups for all PROs assessed ( P < .001 for all). There were no significant differences in MCID or PASS achievement rates ( P≥ .123), with low PASS achievement rates of 40% to 60% found in both groups. Conclusion: Patients who were treated with endoscopic gluteus medius and/or minimus repair with concomitant labral repair demonstrated comparable outcomes with those who were treated with endoscopic labral repair alone.

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Section: Discussionmentioning

confidence: 99%

Results of Endoscopic Labral Repair With Concomitant Gluteus Medius and/or Minimus Repair Compared With Outcomes of Labral Repair Alone: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-up

et al. 2023

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“… 31 Within the current hip literature, tear characteristics other than FI have influenced treatment modalities in multiple studies. 16 , 32 , 33 Therefore, a classification system like the 3-grade MRI-based classification that further implements both tear thickness and extent of retraction is useful to supplement the G-F classification and provide a more step-wise approach to the diagnosis and treatment gluteus medius and/or minimus tears. Further studies evaluating the impact of the 3-grade MRI-based classification on clinical outcomes will be beneficial to determine its clinical utility.…”

Section: Discussionmentioning

confidence: 99%

Three-Grade Magnetic Resonance Imaging–Based Gluteus Medius and/or Minimus Tear Classification System Provides Excellent Inter-Rater Reliability

Browning

Fenn

Allahabadi

et al. 2023

Arthroscopy, Sports Medicine, and Rehabilitation

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“…Other studies also demonstrated improved visual analogue scale scores from 8 to 2 and from 6 to 4. 8 , 9 Although these improvements are promising, a 2-year follow-up study demonstrated that only 68% of patients returned to preoperative activity, with 23% of patients unable to return directly related to issues with the operative hip. 10 Kirby et al.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Gluteus Medius Repair

Merrill

Fleisig

Arceo

et al. 2022

Arthroscopy Techniques

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A Comparison of Outcomes After Endoscopic Repair of Partial- Versus Full-Thickness Tears of the Gluteus Medius Tendon

Cited by 15 publications

References 30 publications

Results of Endoscopic Labral Repair With Concomitant Gluteus Medius and/or Minimus Repair Compared With Outcomes of Labral Repair Alone: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-up

Results of Endoscopic Labral Repair With Concomitant Gluteus Medius and/or Minimus Repair Compared With Outcomes of Labral Repair Alone: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-up

Three-Grade Magnetic Resonance Imaging–Based Gluteus Medius and/or Minimus Tear Classification System Provides Excellent Inter-Rater Reliability

Endoscopic Gluteus Medius Repair

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