Abductor Tendon Tears in the Native and Prosthetic Hip

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Musculoskeletal Disorders

Background:

• Gluteal tendon tears are a common cause of lateral hip pain.
• These tears are often degenerative and require accurate diagnosis through clinical assessment and imaging.
• Nonoperative management is typically the first line of treatment.

Purpose of the Study:

• To evaluate the effectiveness of surgical repair for gluteal tendon tears.
• To compare open versus endoscopic repair options.
• To highlight the benefits of a specific open double-row suture technique.

Main Methods:

• Review of cases involving gluteal tendon tears treated nonoperatively and operatively.
• Detailed physical examination and imaging interpretation for diagnosis.
• Surgical repair using an open double-row suture technique.

Main Results:

• Surgical repair, both open and endoscopic, can predictably improve hip pain.
• Functional improvement after surgery is correlated with the degree of preoperative muscle atrophy.
• The open double-row suture technique allows for visualization, anatomic restoration, and stable fixation.

Conclusions:

• Gluteal tendon tears require careful diagnosis and management.
• Surgical repair offers predictable pain relief for gluteal tendon tears.
• An open double-row suture technique is advocated for reliable and stable repair of gluteal tendon tears.