Hip Gluteus Medius and Minimus Endoscopic Treatment Results in Patient Satisfaction

Lubowitz, James H.; Brand, Jefferson C.; Rossi, Michael J.

doi:10.1016/j.arthro.2020.09.030

Cited by 4 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An a priori power analysis was performed to determine the number of patients required to detect a statistical difference, data for sample size calculation were derived from a study evaluating mHHS of asymptomatic gluteal tendinopathies impact on THA patients. The mean difference (7) and standard deviations (12) were used. Setting alpha to 0.05, and beta to 0.2, we determined that minimum 48 patients would be required in each group.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Yang

Maimaitimin

Zhang

et al. 2021

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose To compare outcomes after arthroscopy in FAIS patients with preoperative asymptomatic gluteal tendinosis (GT) to a control group with no gluteal tendinosis. Methods A retrospective analysis was performed using data from FAIS patients who had arthroscopy between 2016 and 2018. Asymptomatic GT was diagnosed using hip MRI without clinical symptoms. Patients with asymptomatic GT were 1:1 propensity-score matched to patients without GT. Patient-reported outcomes (HOS-ADL, iHOT-12, mHHS), VAS scores, radiographic measures, performed procedures, complications, and revision surgery were compared and analyzed for both groups.Results A total of 105 asymptomatic GT hips and 105 hips without GT were found using propensity-score matching. When compared to preoperative levels, both groups demonstrated significant improvements in PROs and VAS scores at the final follow-up. Besides, there were no significant differences in preoperative scores, final outcome scores, or score improvements between the groups. Patients in the GT group were significantly less likely to achieve the MCID for the VAS score (72.4% vs 83.8%, p = 0.045). However, there were no other differences in the rate of meeting the PASS and MCID between the study and the control groups. Conclusion It was demonstrated in this study that FAIS patients with asymptomatic gluteal tendinosis can expect to experience similar good short-term patients-reported outcomes as compared with patients without gluteal tendinosis. Level of evidence III.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Common symptoms of gluteal tendinopathy include tenderness of the lateral hip, hip abduction weakness, and a positive Trendelenburg sign [18]. Both surgical and endoscopic repair of torn abductor tendons in the hip can result in significance and long‐term clinical improvement [8, 11, 12].…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Yang

Maimaitimin

Zhang

et al. 2021

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…After the peritrochanteric compartment is pointed at, the space is distended with 50–70 mmHg of fluid pressure and a 70° scope is introduced through the AL portal into the potential space between the ITB and the greater trochanter. The ITB is split by entering with an arthroscope directly from the portal [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

Satisfactory results after endoscopic gluteus medius repair combined with selective gluteus maximus reflected tendon release for the treatment of a full-thickness tear of gluteus medius

Rocca

Francia

Giuffrida

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The current study aimed to report the mid-term follow-up results of endoscopic gluteus medius repair combined with a systematic release of the gluteus maximus reflected tendon. Methods Twenty-two patients with a symptomatic full-thickness tear of the gluteus medius tendon, as diagnosed by clinical examination and imaging (MRI), and who had a failure of conservative treatment for at least 6 months, were retrospectively enrolled for this study. An endoscopic repair of gluteus medius was performed for all patients in combination with gluteus maximus reflected tendon release according to the Polesello technique. The Visual Analogue Scale (VAS) for pain, Modified Harris Hip Score (mHHS), Lower Extremity Functional Scale (LEFS), Hip Outcome Score-Activity Daily Life (HOS-ADL), and Hip Outcome Score-Sport Specific Subscale (HOS-SSS) were administered to each patient before surgery for 6 months, 1 year, and every following year after surgery. Results All analysed hip scores (mHHS, LEFS, HOS-ADL, and HOS-SSS) showed statistically significant improvements between the pre-operative and post-operative values at 6 months, 1 year, and the latest follow-up appointments after surgery (p < 0.001). The mean pre-operative pain was 8.6 ± 1.0 on the VAS. After surgical treatment, the pain was significantly reduced (p < 0.001) on the VAS at 6 months (5.4 ± 1.5), 1 year (4.4 ± 1.8) and the latest follow-up control visit (3.6 ± 2.2). No patient-reported major complications (re-rupture, deep infection or neurovascular injury). Eleven (50%) patients indicated the results as excellent, 7 (32%) as good, 2 (9%) as fair, and 2 (9%) as poor. Conclusion The use of abductor tendon repair in combination with a systematic release of the reflected tendon of the gluteus maximus according to the Polesello technique seems to be a safe and effective endoscopic way of treating a full-thickness tear of the gluteus medius. Level of evidence Level IV.

show abstract

“…[1][2][3][4] Navigating through the anatomical terrains of the hip joint, the gluteus medius (GM) muscle, strategically situated within the superior lateral quadrant, emerges not merely as a quintessential stabilizer of the hip joint, but as a dynamic modulator of hip abduction and internal rotation, demonstrating unbridled vigor. [5][6][7] Consequently, fractures within the femoral neck signi cantly destabilize the hip joint, instigating impairment to the functional e cacy of the GM, yielding alterations in gait and hip mechanics that can permeate throughout orthopedic outcomes. [8,9] Amongst the spectrum of femoral neck fractures, Pauwels type III fractures present a particularly perplexing orthopedic conundrum, being characterized by a profound degree of instability resultant from a markedly oblique fracture orientation, engendering elevated shear forces.…”

Section: Introductionmentioning

confidence: 99%

Femoral neck system interferes less with the gluteus medius muscle than cannulated compression screws in patients with Pauwels' type III femoral neck fracture: a retrospective study of 103 cases

zhao,

Wu,

Zhou

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The femoral neck system (FNS) shows promise as an effective alternative for treating femoral neck fractures, particularly Pauwels type III fractures. However, limited literature exists on comparative studies investigating the effects of FNS versus cannulated compression screws (CCS) on the gluteus medius (GM) muscle. This study aims to compare the impact of FNS and CCS interventions on the GM in Pauwels type III femoral neck fracture treatment. Methods This study included 103 patients diagnosed with Pauwels type III femoral neck fractures, treated between January 2019 and September 2021. Among them, 54 patients underwent FNS treatment (FNS group), while 49 patients received CCS fixation (CCS group). Changes in GM area were assessed through ultrasound at 3 and 6 months postoperatively, and hip function was assessed by Harris hip score. Results At 3-, and 6-months post-surgery, the GM area was notably reduced on the operated side in the CCS group compared to the healthy side (p < 0.0001), while no significant disparity was observed in the FNS group (p = 0.402 at 3 months, p = 0.989 at 6 months). The Harris hip score, reflecting postoperative recovery, was significantly superior in the FNS group compared to the CCS group both in March (84.5 ± 3.9 vs. 82.7 ± 4.4, P = 0.029) and June (91.4 ± 4.4 vs. 89.7 ± 4.0, P = 0.037). Conclusion FNS internal fixation for Pauwels type III femoral neck fractures minimally impacts the GM compared to compression screws, suggesting its potential to improve hip function, facilitate gait, and enhance overall hip joint rehabilitation.

show abstract

Hip Gluteus Medius and Minimus Endoscopic Treatment Results in Patient Satisfaction

Cited by 4 publications

References 13 publications

Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Satisfactory results after endoscopic gluteus medius repair combined with selective gluteus maximus reflected tendon release for the treatment of a full-thickness tear of gluteus medius

Femoral neck system interferes less with the gluteus medius muscle than cannulated compression screws in patients with Pauwels' type III femoral neck fracture: a retrospective study of 103 cases

Contact Info

Product

Resources

About