Clinical Features That Predict the Need for Operative Intervention in Gluteus Medius Tears
Authors: Chandrasekaran S, Vemula SP, Gui C, Suarez-Ahedo C, Lodhia P, Domb BG
Purpose:
To identify clinical predictors indicating the need for surgery in patients with gluteus medius (GM) tears.
Methods:
- Case-control study comparing 24 surgical patients to 12 nonoperative patients matched by age, sex, and BMI.
- Clinical evaluation focused on hip abduction strength, gait pattern, pain, and tenderness after conservative treatment trial.
Key Findings:
- Hip abduction weakness and abnormal gait, particularly Trendelenburg gait, strongly predicted surgical intervention.
- Presence of gait deviation increased odds of surgery by 14 times.
What Does This Mean for Providers?
- Assessing hip abduction strength and gait abnormalities is critical in evaluating patients with suspected GM tears.
- Persistent weakness and gait deviations after conservative treatment should prompt consideration for surgical repair.
- Early identification of these clinical signs can optimize patient selection for surgery and improve outcomes.