Clinical and MRI results in 67 patients operated for gluteus medius and minimus tendon tears with a median follow-up of 4.6 years

Abstract

Level IV-retrospective study.

Prevalence and pattern of gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI

“…Nonetheless, while rotator cuff pathology of the shoulder may interfere with daily activities, atrophy of the gluteus muscles contributes to gait disturbance and increases the risk of fall-related fractures [24][25][26][27][28][29]. While current treatment is primarily directed toward pain reduction, some surgeons have started to treat gluteus tendon tears aggressively with repair [30][31][32][33][34] with recent literature showing successful outcomes of repair [35].…”

Endoscopic Gluteus Medius Repair Augmented With Bioinductive Implant

“…8,9 The high rate of re-tears is likely related to the limited healing potential of tendinous tissue, which is poorly vascular and heals by formation of fibrocartilaginous scar tissue rather than histologically normal tendon. 10 Unlike a dermal graft, which provides immediate strength to repair, the bioinductive implant is intended to provide long-term improvement and reduced re-tear rates through amplification of the host healing response and induction of healthy tendon tissue.…”

Sonoanatomy and Pathology of the Gluteus Minimus Tendon

“…However, in the presence of full‐thickness tearing of either the GMIN or AB GMED tendon, diagnostic specificity will be reduced by communication between the sub‐GMIN or ‐GMED bursae and the more superficially located greater trochanteric bursa. Nonetheless, based on the likelihood that an advanced GMIN tendon disorder contributes to GTPS in the setting of an AB GMED tear, the GMIN is often repaired along with the AB GMED tendon in patients with severe or refractory pain or functional limitations …”

“…Gluteus minimus tendon disorders most commonly occur in conjunction with AB GMED tendon abnormalities but can also occur in isolation. 15,19,22 Pathology of the GMIN tendon may not always produce symptoms, as evidenced by the presence of abnormal findings on the asymptomatic contralateral side during the US evaluation. Similarly, several authors have reported magnetic resonance imaging abnormalities of the lateral hip in patients without trochanteric pain.…”

“…17,20 Although disorders of the anterior band (AB) of the GMED are well-described causes of GTPS, the AB GMED tendon may not be the only gluteal tendon involved in GTPS. 3,4,[15][16][17][19][20][21][22][23][24] We reported on the pathology of the posterior band (PB) of the GMED tendon, which may occur in isolation or in combination with AB GMED pathology. 20 Similarly, we have observed that pathology of the GMIN tendon not uncommonly coexists with an AB GMED pathology and is often overlooked as a potential pain generator in GTPS.…”