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Endoscopic gluteus maximus release for peritrochanteric decompression.

D Seidel-Carrera¹, C Tobar-Parra², J F Castillo-Saenz³

¹American British Cowdray Medical Center. Mexico City, Mexico.

Acta Ortopedica Mexicana

|November 21, 2025

Summary

This summary is machine-generated.

A new surgical technique for peritrochanteric syndrome (PTS) involves minimally invasive gluteus maximus release. This approach aims to reduce pain and improve function in patients suffering from lateral hip pain.

Keywords:

decompression endoscopy hip preservation peritrochanteric syndrome

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Area of Science:

Orthopedic Surgery
Minimally Invasive Procedures

Background:

Peritrochanteric syndrome (PTS), also known as greater trochanteric pain syndrome, impacts 10-25% of the population.
Characterized by lateral hip pain and functional impairment, PTS can lead to significant long-term disability.

Purpose of the Study:

To introduce a novel, minimally invasive surgical approach for treating peritrochanteric syndrome.
The goal is to enhance patient outcomes by reducing invasiveness.

Main Methods:

A technique using customized iliotibial band (ITB) portals and gluteus maximus (GM) release is described.
Supine positioning with a 70° arthroscope allows access to the peritrochanteric space.
Radiofrequency ablation releases the distal GM insertion to relieve pressure and friction.

Main Results:

The described surgical method offers a promising alternative to traditional treatments.
This approach aims to minimize tissue trauma and improve patient recovery.

Conclusions:

The novel surgical technique presents a potentially effective treatment for peritrochanteric syndrome.
Further research is required to validate long-term efficacy and safety in a larger cohort.