Partial-thickness Tears of the Gluteus Medius: Rationale and Technique for Trans-Tendinous Endoscopic Repair
Authors: Domb BG, Nasser RM, Botser IB
DOI: 10.1016/j.arthro.2010.06.002
Purpose:
To explain the anatomy and pathology of gluteus medius tendon tears and introduce a new endoscopic trans-tendinous technique for repairing partial-thickness undersurface tears.
Methods:
Literature review of trochanteric pain and gluteus medius tears, and development of a novel arthroscopic repair method.
Key Findings:
- Partial-thickness undersurface tears are often mistaken for trochanteric bursitis.
- These tears are similar to rotator cuff tears but challenging to access arthroscopically.
- The new trans-tendinous approach allows better visualization and precise repair.
Conclusion:
This minimally invasive technique shows promise for effectively treating hard-to-reach partial gluteus medius tears.
What this means for providers:
Patients presenting with chronic lateral hip pain unresponsive to conservative treatment may have an undiagnosed partial-thickness gluteus medius tear, often misattributed to trochanteric bursitis. This trans-tendinous endoscopic repair technique offers a minimally invasive option that improves access to undersurface tears and may lead to better functional outcomes and pain relief.