Asymptomatic Gluteal Tendinopathies Negatively Impact Outcomes of Total Hip Arthroplasty: A Propensity Score-Matched Study
Authors: Rosinsky PJ, Bheem R, Meghpara MB, Haden M, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.arth.2020.07.063
Background
The impact of asymptomatic gluteus medius and minimus (GMM) tendinopathies on THA outcomes is not well understood.
Methods
Patients undergoing THA were evaluated with preoperative MRI. Those with asymptomatic GMM tendinopathy were matched to controls without pathology. Outcomes measured included hip scores and satisfaction over 2 years.
Key Findings
- Patients with asymptomatic GMM tendinopathies had worse postoperative hip function and satisfaction.
- Increased lateral hip pain and slightly higher revision rates were observed in this group.
Conclusions
Asymptomatic GMM tendinopathies can adversely affect THA outcomes. Proactively identifying and addressing this pathology intraoperatively may improve results.
What Does This Mean for Providers?
Screen for gluteal tendinopathy preoperatively, even if asymptomatic, in THA candidates. Consider surgical strategies to address gluteal pathology to optimize functional outcomes and patient satisfaction.