Hip abductor tendon tears: where are we now?

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Mark F ZhuJacob T. Munro

Abstract

Hip abductor tendon tear is a difficult problem to manage. The hip abductor mechanism is made up of the gluteus medius and minimus muscles, both of which contribute to stabilising the pelvis through the gait cycle. Tears of these tendons are likely due to iatrogenic injury during arthroplasty and chronic degenerative tendinopathy. Ultrasound and magnetic resonance imaging have provided limited clues regarding the pattern of disease and further work is required to clarify both the macro and microscopic pattern of disease. While surgery has been attempted over the last 2 decades, the outcomes are variable and the lack of high-quality studies have limited the uptake of surgical repair. Hip abductor tendon tears share many features with rotator cuff tears, hence, innovations in surgical techniques, materials and biologics may apply to both pathologies.

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Citations

Jul 22, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Ronja A SchierjottThomas M Grupp
Mar 30, 2021·Skeletal Radiology·Lawrence M WhiteOleg A Safir

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Methods Mentioned

BETA
dissection
biopsies
total hip arthroplasty

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