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Trochanterschmerzen und Instabilität im Hüftgelenk

„Gluteale Insuffizienz“: was dahinter steckt und wie man helfen kann

Peritrochanteric hip pain due to gluteal insufficiency: Current concepts

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MMW - Fortschritte der Medizin Aims and scope

Nicht selten haben Patienten nach Hüft-TEP noch Restbeschwerden. Bisher wurden die Symptome unter Sammeldiagnosen wie „chronische Bursitis trochanterica“ oder „Trochantersyndrom“ zusammengefasst. In der modernen Endoprothetik werden diese Begriffe jedoch zunehmend durch die Diagnose „gluteale Insuffizienz“ ersetzt. Was verbirgt sich hinter diesem Krankheitskonzept? Welche neuen Therapieansätze ergeben sich daraus?

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Literatur

  1. Lanting BA, MacDonald SJ (2013) The painful total hip replacement: diagnosis and deliverance. The bone & joint journal 95-B:70-73

  2. Wylde V, Hewlett S, Learmonth ID, Dieppe P (2011) Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants. Pain 152:566–572

    Article  PubMed  Google Scholar 

  3. Kagan A, 2nd (1999) Rotator cuff tears of the hip. Clinical orthopaedics and related research:135-140

  4. Bunker TD, Esler CN, Leach WJ (1997) Rotator-cuff tear of the hip. The Journal of bone and joint surgery British volume 79:618–620

    Article  CAS  PubMed  Google Scholar 

  5. Grimaldi A, Richardson C, Stanton W, Durbridge G, Donnelly W, Hides J (2009) The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Manual therapy 14:605–610

    Article  PubMed  Google Scholar 

  6. Masonis JL, Bourne RB (2002) Surgical approach, abductor function, and total hip arthroplasty dislocation. Clinical orthopaedics and related research:46-53

  7. Baker AS, Bitounis VC (1989) Abductor function after total hip replacement. An electromyographic and clinical review. The Journal of bone and joint surgery British volume 71:47–50

    CAS  PubMed  Google Scholar 

  8. Edmunds CT, Boscainos PJ (2011) Effect of surgical approach for total hip replacement on hip function using Harris Hip scores and Trendelenburg’s test. A retrospective analysis. The surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 9:124–129

    Article  CAS  PubMed  Google Scholar 

  9. Svensson O, Skold S, Blomgren G (1990) Integrity of the gluteus medius after the transgluteal approach in total hip arthroplasty. The Journal of arthroplasty 5:57–60

    Article  CAS  PubMed  Google Scholar 

  10. Lindgren JV, Wretenberg P, Karrholm J, Garellick G, Rolfson O (2014) Patient-reported outcome is influenced by surgical approach in total hip replacement: a study of the Swedish Hip Arthroplasty Register including 42,233 patients. The bone & joint journal 96-B:590–596

    Article  CAS  Google Scholar 

  11. Matharu G, Thomas A, Pynsent P (2011) Hip abductor re-attachment audited using a wire marker. Acta orthopaedica Belgica 77:494–496

    PubMed  Google Scholar 

  12. Muller M, Tohtz S, Dewey M, Springer I, Perka C (2010) Evidence of reduced muscle trauma through a minimally invasive anterolateral approach by means of MRI. Clinical orthopaedics and related research 468:3192–3200

    Article  PubMed  PubMed Central  Google Scholar 

  13. Bremer AK, Kalberer F, Pfirrmann CW, Dora C (2011) Soft-tissue changes in hip abductor muscles and tendons after total hip replacement: comparison between the direct anterior and the transgluteal approaches. The Journal of bone and joint surgery British volume 93:886–889

    Article  CAS  PubMed  Google Scholar 

  14. Hersche O (2011) [Diagnosis and therapy of hip abductor insufficiency after hip arthroplasty]. Der Orthopade 40:506–512

    Article  CAS  PubMed  Google Scholar 

  15. Bewyer D, Chen J (2005) Gluteus medius tendon rupture as a source for back, buttock and leg pain: case report. The Iowa orthopaedic journal 25:187–189

    PubMed  PubMed Central  Google Scholar 

  16. Connell DA, Bass C, Sykes CA, Young D, Edwards E (2003) Sonographic evaluation of gluteus medius and minimus tendinopathy. European radiology 13:1339–1347

    PubMed  Google Scholar 

  17. Bird PA, Oakley SP, Shnier R, Kirkham BW (2001) Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis and rheumatism 44:2138–2145

    Article  CAS  PubMed  Google Scholar 

  18. Woodley SJ, Nicholson HD, Livingstone V, Doyle TC, Meikle GR, Macintosh JE, Mercer SR (2008) Lateral hip pain: findings from magnetic resonance imaging and clinical examination. The Journal of orthopaedic and sports physical therapy 38:313–328

    Article  PubMed  Google Scholar 

  19. Selkowitz DMB, G. J.; Powers, C.M. (2013) Which Exercises Target the Gluteal Muscles While Minimizing Activation of the Tensor Fascia Lata? Electromyographic Assessment Using Fine-Wire Electrodes. Journal of Orthopaedic & Sports Physical Therapy 43:54-64

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Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, D-81675, München, Deutschland

    Norbert Harrasser,  Ingo Banke,  Peter M. Prodinger,  Matthias Hauschild,  Hans Gollwitzer &  Rüdiger von Eisenhart-Rothe

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  1. Norbert Harrasser
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  2. Ingo Banke
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  3. Peter M. Prodinger
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  4. Matthias Hauschild
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  5. Hans Gollwitzer
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  6. Rüdiger von Eisenhart-Rothe
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Correspondence to Rüdiger von Eisenhart-Rothe.

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Harrasser, N., Banke, I., Prodinger, P.M. et al. „Gluteale Insuffizienz“: was dahinter steckt und wie man helfen kann. MMW - Fortschritte der Medizin 158, 52–55 (2016). https://doi.org/10.1007/s15006-016-8209-x

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  • DOI: https://doi.org/10.1007/s15006-016-8209-x

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