Outcomes of Endoscopic Gluteus Medius Repair With Minimum 2-Year Follow-Up
Authors: Domb BG, Botser I, Giordano BD
Purpose:
To assess clinical outcomes following endoscopic repair of partial- and full-thickness gluteus medius tendon tears.
Methods:
Case series of 15 patients undergoing endoscopic repair with minimum 2-year follow-up. Outcomes measured by hip-specific scores and patient satisfaction.
Key Findings:
- Significant improvements (>30 points) in hip outcome scores in 14 of 15 patients.
- High patient satisfaction (7–10/10) in majority of cases.
- Both transtendinous and full-thickness repair techniques were effective.
Conclusion:
Endoscopic repair is a reliable, minimally invasive option for gluteus medius tears, yielding good short-term functional outcomes and patient satisfaction.
What Does This Mean for Providers?
- Endoscopic gluteus medius repair should be considered a viable treatment for lateral hip abductor tendon tears, especially in patients at risk for poor outcomes from open surgery.
- Both transtendinous and full-thickness repair techniques are effective and can be tailored to tear morphology.
- Providers should monitor patient progress closely for at least 2 years to assess durability of repair.