Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
Authors: Redmond JM, Cregar WM, Gupta A, Hammarstedt JE, Martin TJ, Domb BG
DOI: 10.1016/j.eats.2014.11.009
Purpose:
Describe an endoscopic micropuncture technique at the greater trochanter for patients with gluteus medius tendinopathy without discrete tendon tears failing conservative treatment.
Methods:
Technical note proposing micropuncture to stimulate healing, modeled after successful tendinopathy treatments in other joints.
Key Findings:
- Early experience suggests effective symptom reduction and tendon healing promotion.
- Minimally invasive approach without need for more extensive surgery.
What Does This Mean for Providers?
- Consider trochanteric micropuncture as a minimally invasive treatment option for patients with gluteus medius tendinopathy lacking discrete tears.
- May reduce symptoms and facilitate tendon healing, potentially avoiding more invasive repairs.
- Technique could be integrated into treatment algorithms for recalcitrant lateral hip pain after failed conservative therapy.