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Gluteal Tendons Tears: Imaging Diagnosis with Treatment Implications
Stefano Fusco1, Fernando Idoate Saralegui2, Bruno Capurro-Soler3
1Department of Biomedical Sciences for Health, University of Milan, Milan 20141, Italy.
Magnetic Resonance Imaging Clinics of North America
|July 13, 2026
Summary
Magnetic resonance imaging (MRI) is crucial for evaluating hip abductor tendon disorders causing lateral hip pain. It helps assess tendon tears, muscle quality, and guides treatment decisions.
Area of Science:
- Orthopedics
- Radiology
- Sports Medicine
Background:
- Hip abductor mechanism disorders frequently cause lateral hip pain and functional limitations.
- Accurate diagnosis is essential for effective management and surgical planning.
Purpose of the Study:
- To detail the role of MRI in evaluating gluteus medius and minimus tendon pathology.
- To correlate imaging findings with muscle quality, biomechanics, and clinical outcomes.
Main Methods:
- Review of MRI features of hip abductor tendon pathology, including tendinopathy, tears, and fatty infiltration.
- Emphasis on the relationship between imaging findings and clinical presentation.
Main Results:
- MRI effectively identifies tendinopathy, partial/full-thickness tears, and tendon elongation.
- Fatty infiltration correlates with impaired muscle quality and functional deficits.
- MRI distinguishes adaptive changes from structural failure.
Conclusions:
- MRI is invaluable for preoperative assessment and postoperative follow-up of hip abductor disorders.
- Understanding MRI findings aids in surgical decision-making and predicting outcomes.
- Comprehensive MRI evaluation optimizes patient management for lateral hip pain.
