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Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

Authors: Meghpara MB, Yelton MJ, Glein RM, Malik MS, Rosinsky PJ, Shapira J, Maldonado DR, Ankem HK, Lall AC, Domb BG

DOI: 10.1016/j.asmr.2021.07.026

Background:

Gluteus medius (GM) tears can cause hip pain and dysfunction. This study evaluates outcomes after isolated endoscopic GM repair.

Methods:

Review of patients with isolated endoscopic GM repair and minimum 2-year follow-up PROs.

Key Findings:

  • Significant improvements in mHHS, NAHS, and pain scores.
  • 88.5% achieved clinically meaningful improvement.
  • Excellent outcomes noted particularly in partial-thickness GM tears.

Conclusions:

Isolated endoscopic GM repair is effective in improving hip function and reducing pain.

What Does This Mean for Providers?

Providers should consider isolated endoscopic gluteus medius repair as a viable and effective treatment for GM tears, especially partial-thickness tears, when no other hip pathology requires surgical intervention. Accurate diagnosis and appropriate patient selection are key to optimizing outcomes.