Gluteus Medius Trans Tendinous Repair - Hip arthroscopy

by American Hip Institute Research Foundation | 13 years ago

Tears in the gluteus medius and minimus tendons have recently emerged as an important cause of recalcitrant greater trochanter pain syndrome. Advances in endoscopic surgery of the hip have created opportunities to better evaluate and treat pathology in the peritrochanteric compartment. We reviewed the literature on trochanteric pain syndrome and gluteus medius tendon injuries. Existing techniques for endoscopic and open gluteus tendon repair and potential challenges in restoration of abductor function were analyzed. Partial thickness undersurface tears of the gluteus medius were identified as a common pathological entity. Although these tears are otherwise analogous to partial thickness tears of the rotator cuff, the lack of arthroscopic access to the deep side of the gluteus medius tendon represents a unique technical challenge. In order to address the difficulty in visualizing and therefore recognizing and repairing undersurface tears of the gluteus medius, a novel endoscopic trans-tendinous repair technique was developed. The purpose of this study was to review the anatomy, pathology, and existing repair techniques of the gluteus medius, and to describe the rationale and surgical steps for endoscopic trans-tendinous repair. This technique was published at arthroscopy journal on Dec. 2010 http://www.ncbi.nlm.nih.gov/pubmed/20...