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Hip Abductor Tendon Injuries: Diagnosis and Management Strategies.
Karolina A Serhan1, Thomas J Berault1, Kyle Wieschhaus1
1Bone & Joint Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, Virginia.
JBJS Reviews
|June 20, 2025
Summary
Abductor tendon tears of the hip, common in older women, present diagnostic and management challenges. While surgery offers positive outcomes for many, irreparable tears require complex salvage procedures with variable results.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Imaging
Background:
- Abductor tendon tears of the hip are debilitating injuries.
- They disproportionately affect older women.
- Tears can result from chronic degeneration or iatrogenic causes during hip arthroplasty.
Purpose of the Study:
- To review the diagnosis and management of abductor tendon tears of the hip.
- To discuss current treatment modalities and outcomes.
Main Methods:
- Review of diagnostic imaging including radiographs and magnetic resonance imaging.
- Analysis of nonoperative and operative management strategies.
- Evaluation of outcomes for salvage procedures in irreparable tears.
Main Results:
- Diagnosis relies on imaging, with management remaining challenging.
- Nonoperative treatments show variable efficacy.
- Surgical techniques offer positive outcomes for many cases.
- Salvage procedures like allograft reconstruction or tendon transfers yield variable results for irreparable tears.
Conclusions:
- Abductor tendon tears require careful diagnosis and management.
- Treatment strategies vary based on tear severity and patient factors.
- Further research may improve outcomes for irreparable tears.
