Endoscopic gluteus maximus release for peritrochanteric decompression

peritrochanteric syndrome, also known as greater trochanteric pain syndrome, affects 10-25% of the population, resulting in pain and functional impairment in the lateral hip region. This condition is often associated with significant long-term disabilities.

this study aims to introduce a novel surgical approach for treating peritrochanteric syndrome that minimizes invasiveness and enhances patient outcomes.

we describe a technique that utilizes customized portals through the iliotibial band (ITB) along with the release of the proximal insertion of the gluteus maximus (GM). Patients are positioned supine, with access to the peritrochanteric space achieved through a 70° arthroscope. Radiofrequency release of approximately 3-4 cm of the distal GM insertion is performed to alleviate pressure and reduce friction in the peritrochanteric space.

the proposed surgical method offers a promising alternative to traditional approaches for treating peritrochanteric syndrome by minimizing the tissue trauma and enhancing recovery. Further research is necessary to evaluate the long-term efficacy and safety of this innovative intervention in a larger patient population.