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Surgical Treatment and Outcomes for Gluteal Tendon Tears

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Abstract

Purpose of Review

Gluteus medius and minimus tears, or hip abductor tendon tears, are increasingly identified as a source of lateral hip pain. Once underappreciated and undertreated, they are now recognized as a cause of greater trochanteric pain syndrome and a pathology amenable to both nonoperative and operative modalities. This review summarizes relevant anatomy, clinical presentation, and treatment options for gluteus medius tears, focusing on surgical options.

Recent Findings

When surgical intervention is indicated, repair, reconstruction, or tendon transfer may be considered. Open and endoscopic repair techniques demonstrate similar outcomes with improvements in patient-reported outcomes and low complication and retear rates for both partial and full thickness tears. Variations in fixation construct and graft augmentations have been described, though clinical evidence remains limited to support specific techniques. Gluteus maximus transfer via open approach is a salvage option for the severely atrophied, retracted, or revision gluteus tendon; however, persistent limitations in abduction strength and gait abnormalities are common.

Summary

Emerging evidence continues to evolve our understanding of surgical decision-making for gluteus tendon tears. The current literature supports either open or endoscopic repair techniques and open tendon transfer as a salvAage option. Further study is needed to determine the optimal fixation construct, the role of graft augmentation, and patient-related factors that influence postoperative outcomes.

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Data Availability

No datasets were generated or analysed during the current study.

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Authors and Affiliations

  1. Orthopaedic Department, Sports Medicine Division, NYU Langone Health, 301 E 17th Street, New York, NY, 10003, USA

    Allison Morgan, Michael Moore, Kendall Derry, Andrew Bi, Jahnya Brown, Thomas Youm & Daniel Kaplan

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  1. Allison Morgan
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  2. Michael Moore
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  3. Kendall Derry
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A.M, M.M, K.D, A.B, J.B, T.Y, D.K wrote the main manuscript text and A.M, K.D and D.K prepared the figures and tables. All authors reviewed the manuscript.

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Correspondence to Daniel Kaplan.

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Allison Morgan, Michael Moore, Kendall Derry, Andrew Bi, and Daniel Kaplan declare that they have no conflicts of interest. Thomas Youm has received royalties and speaking fees from Arthrex, Inc.

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All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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Thomas Youm-Arthrex Inc.-Consulting Fees.

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Morgan, A., Moore, M., Derry, K. et al. Surgical Treatment and Outcomes for Gluteal Tendon Tears. Curr Rev Musculoskelet Med 17, 157–170 (2024). https://doi.org/10.1007/s12178-024-09896-w

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