Gluteus medius tears of the hip: a comprehensive approach

The Physician and Sportsmedicine
Collin LaPorteTravis Menge

Abstract

Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing is present in many cases of GTPS. Pathology of the gluteus medius can result in significant hip pain, loss of motion, and decreased function. Affected patients characteristically have symptoms including lateral hip pain and a Trendelenburg gait, which may be refractory to conservative management such as non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, and injections. In these cases, both open and arthroscopic repair techniques have been described, with recent literature demonstrating excellent patient-reported outcomes. We present a comprehensive review of gluteus medius tears including relevant anatomy, clinical evaluation, diagnosis, and treatment options.

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Citations

Mar 3, 2021·Archives of Orthopaedic and Trauma Surgery·Alexander MaslarisStefano A Bini
Feb 26, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mathieu ThaunatPramod S Ingale
Apr 2, 2021·The American Journal of Sports Medicine·Baris KocaogluMarc Safran
Apr 24, 2021·Orthopaedic Journal of Sports Medicine·Tyler J UppstromBenedict U Nwachukwu
Jun 24, 2021·SAGE Open Medicine·Mark A PiankaBlake M Bodendorfer

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