Endoscopic repair of partial-thickness undersurface tears of the gluteus medius tendon - 25/09/13
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Summary |
Partial-thickness tear of the gluteus medius and minimus muscles has recently been recognized as a cause of chronic trochanteric pain resistant to medical treatment. The present article reports an original endoscopic technique of identification and repair. It uses a standard arthroscope at 30°, with the patient in lateral decubitus, without fluoroscopy. In case of partial-thickness undersurface tear, careful hook palpation followed by bursa exploration enables the pathological tendon to be diagnosed. A trans-tendinous approach then allows debridement, with systematic resection of the bone structures implicated in the impingement, followed by side-to-side tendon suture.
Level of evidence |
Level IV (case series).
Le texte complet de cet article est disponible en PDF.Keywords : Gluteus medius, Partial-thickness tear, Endoscopy, Hip
Plan
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