Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings.

Kingzett-Taylor, A.; Tirman, P. F. J.; Feller, John F.; Mcgann, W.; Prieto, V.; Wischer, Thorsten; Cameron, Jo Ann; Cvitanic, Oliver; Genant, Harry K.

doi:10.2214/ajr.173.4.10511191

Cited by 352 publications

(228 citation statements)

References 7 publications

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“…They did not report on bursa findings at surgery or on histopathology [9]. In studies that have used MRI or ultrasound to differentiate between gluteus medius and minimus pathology, including ours, imaging gluteus minimus pathology has been underreported when compared with the surgical findings [4,8,9,23,26,30,34].…”

Section: Discussionmentioning

confidence: 97%

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Does Ultrasound Correlate with Surgical or Histologic Findings in Greater Trochanteric Pain Syndrome? A Pilot Study

Fearon

Scarvell

Cook

et al. 2010

Clinical Orthopaedics &Amp; Related Research

104

111

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Section: Discussionmentioning

confidence: 97%

“…These include bursectomy [2,14,15,44], iliotibial band release [14,16,35,40], and surgical reconstruction of the tendons [11,23,30,43], frequently in combination [11,30,43]. Imaging [9,26,34] and surgical [10,28,30,34] observations implicating the tendons and bursae in the clinical syndrome have been reported.…”

Section: Introductionmentioning

confidence: 99%

Does Ultrasound Correlate with Surgical or Histologic Findings in Greater Trochanteric Pain Syndrome? A Pilot Study

Fearon

Scarvell

Cook

et al. 2010

Clinical Orthopaedics &Amp; Related Research

104

111

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“…Notably, this syndrome can present both in patients with and without total hip arthroplasty (THA), and it is commonly caused by abductor tendon abnormalities [1,[3][4][5]. In addition to severe lateral hip pain, abductor tendon tears and atrophy of the associated muscles often result in further clinical problems such as a Trendelenburg gait pattern, or immobility [6].…”

Section: Introductionmentioning

confidence: 99%

“…In addition to severe lateral hip pain, abductor tendon tears and atrophy of the associated muscles often result in further clinical problems such as a Trendelenburg gait pattern, or immobility [6]. MRI is routinely used for evaluation of suspected abnormalities of the gluteus medius and minimus tendon and muscle, both in patients with and without THA, and with the routine use of MRI the knowledge about abductor tendon abnormalities has increased in recent years [3,1,2,7,8]. However, the biomechanics of the development of abductor tendon tears are still poorly understood, and the role of the tensor fasciae latae muscle in the development of abductor tendon tears has not been evaluated up to date [8].…”

Section: Introductionmentioning

confidence: 99%

Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle

et al. 2012

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OBJECTIVE: To evaluate the association between hypertrophy of the tensor fasciae latae muscle and abductor tendon tears. MATERIALS AND METHODS: Thirty-five patients who underwent MRI of the abductor tendons of the hip were included in this retrospective study. A subgroup of 18 patients was examined bilaterally. The area of the tensor fasciae latae muscle and the area of the sartorius muscle (size reference) were quantified at the level of the femoral head, and a ratio was calculated. Two radiologists assessed the integrity of the gluteus medius and minimus tendon in consensus. Data were analyzed with a Mann-Whitney U test. RESULTS: Sixteen out of 35 patients (46 %) had a tear of the gluteus medius or minimus tendon. The ratio of the area of the tensor fasciae latae to the sartorius muscle was significantly higher (p = .028) in the group with an abductor tendon tear (median 2.25; Interquartile Range [IQR] = 1.97-3.21) compared to the group without any tears (median 1.91; IQR = 1.52-2.26). The bilateral subanalysis showed that in patients without a tear, the ratio of the two areas did not differ between each side (p = .966), with a median of 1.54 (primary side) and 1.76 (contralateral side). In patients with an abductor tendon tear the ratio was significantly higher (p = .031) on the side with a tear (median 2.81) compared to the contralateral healthy side (1.67). CONCLUSION: Patients with abductor tendon tears showed hypertrophy of the tensor fasciae latae muscle when compared to the contralateral healthy side and to patients without a tear. AbstractObjective. To evaluate the association between hypertrophy of the tensor fasciae latae muscle and abductor tendon tears. Materials and Methods.Thirty-five patients with MRI of the abductor tendons of the hip were included in this retrospective study. A subgroup of 18 patients was examined bilaterally. The area of the tensor fasciae latae muscle and the area of the sartorius muscle (size reference) were quantified at the level of the femoral head, and a ratio was calculated. Two radiologists assessed the integrity of the gluteus medius and minimus tendon in consensus. Data were analyzed with a Mann-Whitney U test.Results. Sixteen out of 35 patients (46%) had a tear of the gluteus medius or minimus tendon. The ratio of the area of the tensor fasciae latae to the sartorius muscle was significantly higher (p=.028) in the group with an abductor tendon tear (median 2.25;Interquartile Range [IQR]= 1.97-3.21) compared to the group without tear (median 1.91; IQR= 1.52-2.26). The bilateral subanalysis showed that in patients without a tear, the ratio of the two areas did not differ between each side (p=.966), with a median of 1.54 (primary side) and 1.76 (contralateral side). In patients with an abductor tendon tear the ratio was significantly higher (p=.031) on the side with a tear (median 2.81) compared to the contralateral healthy side (1.67). Conclusion.Patients with abductor tendon tears showed hypertrophy of the tensor fasciae latae muscle when compared to the ...

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“…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. 4,6,7 Also referred to as the "rotator cuff of the hip," these tendons pathologically share a number of similarities to those of the shoulder.…”

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confidence: 99%

Endoscopic Repair of Full-Thickness Gluteus Medius Tears

Domb

Carreira

2013

Arthroscopy Techniques

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Tears in the gluteus medius and minimus tendons recently have emerged as an important cause of chronic greater trochanteric pain syndrome. Increasing recognition of the gluteal insertion as a cause of chronic pain and weakness, as well as technologic advances in endoscopic hip surgery, has made gluteal insertional repair a rapidly emerging technique in minimally invasive surgery of the hip. We present an endoscopic double-row technique for gluteal insertional repair that allows for visualization, debridement, and repair, re-creating the normal footprint.

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Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings.

Cited by 352 publications

References 7 publications

Does Ultrasound Correlate with Surgical or Histologic Findings in Greater Trochanteric Pain Syndrome? A Pilot Study

Does Ultrasound Correlate with Surgical or Histologic Findings in Greater Trochanteric Pain Syndrome? A Pilot Study

Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle

Endoscopic Repair of Full-Thickness Gluteus Medius Tears

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