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Rotator cuff tears of the hip
1Orthopedics and Sports Medicine, Fort Myers, FL 33919, USA.
Clinical Orthopaedics and Related Research
|December 29, 1999
Summary
Lateral hip pain is often misdiagnosed as trochanteric bursitis. This study found partial gluteus medius tendon tears in patients with persistent hip pain, successfully treated with surgical reattachment.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Imaging
- Sports Medicine
Background:
- Lateral hip pain is frequently diagnosed as trochanteric bursitis.
- Conservative treatments and iliotibial band release are common interventions.
- Diagnosis can be challenging with non-specific physical examination findings.
Observation:
- Seven patients presented with chronic, increasing lateral hip pain.
- Physical examination revealed no specific diagnostic signs.
- Magnetic resonance imaging (MRI) indicated gluteus medius tendon abnormalities and trochanteric bursitis.
Findings:
- Partial tears of the gluteus medius tendon at the greater trochanter were identified.
- Surgical repair involved reattaching the torn tendon to bone using sutures.
- All seven patients experienced complete pain relief post-surgery.
Implications:
- This highlights gluteus medius tendon tears as a potential cause of lateral hip pain.
- Accurate diagnosis via MRI is crucial for effective treatment.
- Surgical tendon reattachment offers a successful treatment option for this condition.