Partial-Thickness Tears of the Gluteus Medius: Rationale and Technique for Trans-Tendinous Endoscopic Repair

All-Endoscopic Single-Row Repair of Full-Thickness Gluteus Medius Tears

“…The gluteus medius typically has a thick tendinous insertion onto the posterosuperior facet and a thinner, muscular attachment onto the lateral facet. 5,10,11 The surgeon should now be able to locate the gluteus medius along the lateral footprint of the greater trochanter and the gluteus minimus inserting anteriorly. A probe may be used to explore the bursal side of the tendon.…”

Endoscopic Repair of Full-Thickness Gluteus Medius Tears

“…14 Figure 3 shows the anatomy of the greater trochanter, with its 4 distinct facets and 3 tendon insertions. 1 The thicker, main component of the gluteus medius inserts at the superoposterior facet. Each of the tendons has a bursa associated with it, which may help to explain somewhat variable results with injections.…”

“…Historically, pain over the greater trochanter was presumed solely to be due to bursitis, but several studies have challenged this and shown gluteus tears as a source of pain. 1 Degenerative tears occur more often than acute tears, 2,3 and gluteus medius tears occur more often than gluteus minimus tears. 4,5 Tears at the insertion of the gluteus medius can be intrasubstance, partial, or complete and can occur either spontaneously or traumatically.…”

Hip Abductor Tendinopathy: Work-Up and Open Versus Arthroscopic Repair of Hip Abductor

“…Etiologies of GTPS include gluteus medius and minimus tendinopathy, external coxa saltans (hip snapping), and greater trochanteric bursitis [9,10]. Domb et al & Williams et al [7,11] relate the incidence of GTPS is approximately 1.8 per 1,000 people and classically presents as pain on the lateral aspect of the hip that can radiate to the thigh and posteriorly. Chronic, progressive pain is more common than acute-onset pain from an identifiable traumatic event [12,13].…”