Gluteal Undersurface Concealed Crescent Injury Endoscopic Deep Surface Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Minimally Invasive Procedures

Background:

• Partial-thickness articular-sided gluteus medius/minimus tears (gluteal undersurface concealed crescent injury lesions) are a source of debilitating hip pain.
• Nonoperative management often fails, necessitating surgical intervention for persistent symptoms.

Purpose of the Study:

• To describe a novel, tissue-sparing endoscopic surgical technique for repairing gluteal undersurface concealed crescent injury lesions.
• To introduce the "X-linked" compressive configuration (GUCCI-X) using all-suture knotless anchors.

Main Methods:

• The technical note details a minimally invasive endoscopic approach for gluteal tear repair.
• It utilizes all-suture knotless anchors in an "X-linked" compressive configuration (GUCCI-X).
• This technique avoids tendon splitting and knot tying associated with conventional methods.

Main Results:

• The GUCCI-X technique is presented as a tissue-sparing alternative to traditional transtendinous repairs.
• It aims to reduce postoperative pain and irritation.
• Potential for shorter operative and recovery times is implied.

Conclusions:

• The GUCCI-X technique represents an advancement in endoscopic repair for partial-thickness gluteal tears.
• This knotless, tissue-sparing approach may improve patient outcomes and recovery.
• Further studies are warranted to evaluate clinical efficacy.