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Endoscopic Repair of Full-Thickness Gluteus Medius Tears

Authors: Domb BG, Carreira DS

DOI: 10.1016/j.eats.2012.11.005

Purpose:

To describe a minimally invasive endoscopic technique for repair of full-thickness gluteus medius tendon tears.

Methods:

Technical note detailing a double-row endoscopic approach for visualization, debridement, and repair of gluteal tendon tears.

Key Findings:

  • Technique allows anatomical restoration of the tendon footprint with minimal tissue disruption.
  • Offers improved visualization and access compared to open surgery.

Conclusion:

Endoscopic repair represents a promising minimally invasive option for patients with chronic lateral hip pain due to gluteus medius tendon tears.

What Does This Mean for Providers?

  • Providers can offer a less invasive surgical alternative that may reduce morbidity and expedite recovery compared to open repairs.
  • Familiarity with endoscopic techniques can improve outcomes in patients with chronic lateral hip pain refractory to conservative treatment.
  • Appropriate patient selection is essential for success.