Identification and differentiation of gluteus medius tendon pathology using ultrasound and magnetic resonance imaging

Docking, Sean; Cook, Jill; Chen, Stephanie; Scarvell, Jennie M.; Cormick, Wes; Smith, Paul N.; Fearon, Angela

doi:10.1016/j.msksp.2019.01.011

Cited by 36 publications

(38 citation statements)

References 35 publications

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“…Other studies confirmed this hypothesis [ 49 ]. The ability to differentiate between a healthy and a pathological medius gluteus tendon has recently been tested, with encouraging results, while the differentiation of the different tendinopathy stages was poor [ 50 ]. Further studies should consider the newly techniques used for the ultrasound imaging of other tendons to test the tendinopathy stages.…”

Section: Resultsmentioning

confidence: 99%

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

et al. 2020

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Tendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultrasound as an imaging tool and guide for treatments in lower limbs tendinopathy. Using three different databases—PubMed, MEDLINE and CENTRAL—a literature search has been performed in May 2020 combining MeSH terms and free terms with Boolean operators. Authors independently selected studies, conducted quality assessment, and extracted results. Ultrasound imaging has a good reliability in the differentiation between healthy and abnormal tendon tissue, while there are difficulties in the identification of tendinopathy stages. The main parameters considered by ultrasound imaging are tendon thickness, hypoechogenicity of tendon structure and neovascularization of the tendon bound tissue. Ultrasound-guide is also used in many tendinopathy treatments and the available studies gave encouraging results, even if further studies are needed in this field.

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Section: Resultsmentioning

confidence: 99%

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

et al. 2020

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“…The most common imaging modalities used in the evaluation for GTPS are plain radiography, ultrasonography, and MRI, with MRI as the primary means of evaluating a patient for GTPS 1, 8, 12…”

Section: Diagnostic Workupmentioning

confidence: 99%

“…Historically, patients with lateral-sided hip pain have been diagnosed with trochanteric bursitis and treated with physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections 1, 2, 3, 4, 5, 6. Advancements in magnetic resonance imaging (MRI) as well as experience with hip arthroscopy have led to an improved understanding of peritrochanteric pain etiology and its management 7, 8, 9, 10, 11, 12. Greater trochanteric pain syndrome (GTPS) has expanded to include disorders of the peritrochanteric space encompassing trochanteric bursitis, gluteus medius and minimus tendinopathy or tears, and external coxa saltans (i.e.…”

mentioning

confidence: 99%

Greater Trochanteric Pain Syndrome: An Intraoperative Endoscopic Classification System with Pearls to Surgical Techniques and Rehabilitation Protocols

Lall

Schwarzman

Battaglia

et al. 2019

Arthroscopy Techniques

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Over the past decade, understanding of disorders compromising greater trochanteric pain syndrome (GTPS) has increased dramatically. Nonsurgical treatment options include physical rehabilitation and activity modification, antiinflammatory as well as biologic injections into the peritrochanteric compartment, and administration of oral analgesics. Multiple open and endoscopic treatment options exist when nonsurgical management is unsuccessful in patients with refractory lateral-sided hip pain, with or without weakness. No true consensus exists within the literature regarding operative techniques of GTPS or postoperative rehabilitation protocols. We present an endoscopic classification system of GTPS with 5 distinct types, which seems to correlate well with preoperative diagnoses and postoperative rehabilitation protocols. The classification system is intuitive, and the corresponding surgical techniques are reproducible for surgeons treating peritrochanteric pathology. Level of Evidence: I (hip); II (extra-articular, impingement).

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“…3 Although magnetic resonance imaging (MRI) is commonly used for this purpose because of its wide field of view and excellent resolution, ultrasound (US) can also be used to evaluate the pertinent anatomic structures involved in GTPS in most cases. 3,4,15,[17][18][19] Advantages of US compared to MRI include low cost, patient comfort, and superior spatial resolution in nonobese individuals. Furthermore, US allows the operator to image the lateral hip from multiple planes, an advantage since the gluteus minimus (GMIN) and GMED tendons do not follow standard anatomic planes.…”

mentioning

confidence: 99%

“…In the setting of GTPS, clinicians may order diagnostic imaging to identify and characterize the etiology and, in turn, direct treatment . Although magnetic resonance imaging (MRI) is commonly used for this purpose because of its wide field of view and excellent resolution, ultrasound (US) can also be used to evaluate the pertinent anatomic structures involved in GTPS in most cases . Advantages of US compared to MRI include low cost, patient comfort, and superior spatial resolution in nonobese individuals.…”

mentioning

confidence: 99%

Sonoanatomy and Pathology of the Gluteus Minimus Tendon

Hoffman

Sellon

Moore

et al. 2019

J of Ultrasound Medicine

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Gluteus minimus disorders are a potential source of greater trochanteric or anterior hip pain. Disorders of the gluteus minimus tendon most commonly occur in conjunction with gluteus medius tendon abnormalities but can also occur in isolation. Understanding the sonoanatomy of the gluteus minimus muscle‐tendon unit is a prerequisite for recognizing and characterizing gluteus minimus tendon disorders, which, in turn, guides treatment for patients with greater trochanteric or anterior hip pain syndromes.

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Identification and differentiation of gluteus medius tendon pathology using ultrasound and magnetic resonance imaging

Cited by 36 publications

References 35 publications

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Greater Trochanteric Pain Syndrome: An Intraoperative Endoscopic Classification System with Pearls to Surgical Techniques and Rehabilitation Protocols

Sonoanatomy and Pathology of the Gluteus Minimus Tendon

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