Bare area on the trochanter and its correlations to gluteal tendon insertion dimensions

Hapa, Onur; Işın, Yağmur; Toklong, Moses; Hüsemoğlu, R. Buğra; Edizer, Mete; Havıtçıoğlu, Hasan

doi:10.1093/jhps/hnaa001

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…The gluteus medius and gluteus minimus, commonly referred to as the abductor tendons, insert upon the anterosuperior portions of the greater trochanter [ 7 , 8 ]. Interestingly, a previous anatomical investigation of the gluteus medius and minimus has theorized that they primarily function as dynamic hip stabilizers and pelvic rotators with secondary functions as hip abductors, while the TFL serves as the predominant hip abductor [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Association of tensor fascia lata hypertrophy and fatty infiltration in the presence of abductor tendon tears: a radiographic study

Quinn

Levins

Mojarrad

et al. 2021

Journal of Hip Preservation Surgery

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Hip abductor tendon tears of the gluteus medius and minimus are becoming a well-recognized source of pain and dysfunction, primarily in middle-age females. Like the rotator cuff, fatty infiltration (FI) can occur after tearing of these tendons. While the association of TFL hypertrophy after abductor tendon tears has been established, its association with FI has not been well studied. Our hypothesis is that hypertrophy of the TFL will be associated with FI of the abductors. All patients >18 years old undergoing primary surgical repair for a confirmed tears on MRI, without a history of prior hip surgery or osteoarthritis, were included. The following measurements were obtained from MRI: TFL cross-sectional area, TFL:sartorius volume ratio, and modified Goutallier grade of gluteus medius and minimus. Seventy patients met inclusion criteria and were divided in two groups, those with (n = 28) and those without FI (n = 42) of the abductors. The FI group was on average older (65 versus 58 years, P < 0.00016). TFL hypertrophy and TFL:sartorius volume ratio were significantly associated with FI (P= 0.00069). Following abductor tendon tear and subsequent FI, there exists significant TFL hypertrophy in patients without a prior history of hip surgery in our patient cohort.

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Section: Introductionmentioning

confidence: 99%

Association of tensor fascia lata hypertrophy and fatty infiltration in the presence of abductor tendon tears: a radiographic study

Quinn

Levins

Mojarrad

et al. 2021

Journal of Hip Preservation Surgery

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MR Imaging Diagnosis of Greater Trochanteric Syndrome

Rosa Mohana-Borges,

Cheng,

Chung

2024

Magnetic Resonance Imaging Clinics of North America

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Short-term outcomes following mini-open repair of chronic gluteus medius tendon tears using a double-row technique

Barrera

Bothorel

Poultsides

et al. 2021

Journal of Hip Preservation Surgery

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Gluteal tendon tears represent a common but underreported cause of lateral hip pain and dysfunction. In case of conservative management failure, a surgical procedure must be performed to relieve patient symptoms. Current operative treatments, either open or endoscopic, have been however associated with different drawbacks which led to the introduction of the mini-open technique. The aim of this study was to evaluate and report the short-term outcomes of patients operated through the aforementioned surgical technique for gluteus medius (GM) chronic tears. We retrospectively analysed the records of 14 consecutive patients operated at the La Tour hospital by mini-open repair using a double-row technique for full-thickness GM chronic tears. Intra- and post-operative complications were recorded. The pre- and post-operative pain on visual analogue scale (pVAS), modified Harris Hip score (mHHS), abduction strength and gait dysfunction were assessed for all patients. Pre- and post-operative values were compared to evaluate whether improvements were statistically significant and clinically relevant. The study cohort comprised 13 women (93%) and 1 man (3%) aged 62.4 ± 18.0 at index surgery. No intra- or post-operative complications were noted. Compared to pre-operative values, patients reported a significant improvement in mHHS (59.1 ± 7.1 vs 92.7 ± 4.6) and pVAS (7.4 ± 1.0 vs 1.3 ± 1.3) at last follow-up. Patients exhibited a perfect improvement in muscle strength (3.6 ± 0.5 vs 5.0 ± 0.0), and the proportion of patients with a positive Trendelenburg sign decreased from 71% to 0%. Mini-open repair of chronic GM tendon tears using a double-row technique demonstrated excellent clinical and functional outcomes at short follow-up. Level of Evidence: IV.

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Bare area on the trochanter and its correlations to gluteal tendon insertion dimensions

Cited by 4 publications

References 19 publications

Association of tensor fascia lata hypertrophy and fatty infiltration in the presence of abductor tendon tears: a radiographic study

Association of tensor fascia lata hypertrophy and fatty infiltration in the presence of abductor tendon tears: a radiographic study

MR Imaging Diagnosis of Greater Trochanteric Syndrome

Short-term outcomes following mini-open repair of chronic gluteus medius tendon tears using a double-row technique

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