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Abductor tendon tears of the hip: evaluation and management.

Publication ,  Journal Article
Lachiewicz, PF
Published in: J Am Acad Orthop Surg
July 2011

The gluteus medius and minimus muscle-tendon complex is crucial for gait and stability in the hip joint. There are three clinical presentations of abductor tendon tears. Degenerative or traumatic tears of the hip abductor tendons, so-called rotator cuff tears of the hip, are seen in older patients with intractable lateral hip pain and weakness but without arthritis of the hip joint. The second type of tear may be relatively asymptomatic. It is often seen in patients undergoing arthroplasty for femoral neck fracture or elective total hip arthroplasty (THA) for osteoarthritis. The third type of abductor tendon dysfunction occurs with avulsion or failure of repair following THA performed through the anterolateral approach. Abductor tendon tear should be confirmed on MRI. When nonsurgical management is unsuccessful, open repair of the tendons with transosseous sutures is recommended. Good pain relief has been reported following endoscopic repair. Abductor tendon repair has had inconsistent results in persons with avulsion following THA. Reconstruction with a gluteus maximus muscle flap or Achilles tendon allograft has provided promising short-term results in small series.

Duke Scholars

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

July 2011

Volume

19

Issue

7

Start / End Page

385 / 391

Location

United States

Related Subject Headings

  • Tendons
  • Tendon Injuries
  • Rupture
  • Plastic Surgery Procedures
  • Orthopedics
  • Magnetic Resonance Imaging
  • Humans
  • Hip Joint
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lachiewicz, P. F. (2011). Abductor tendon tears of the hip: evaluation and management. J Am Acad Orthop Surg, 19(7), 385–391. https://doi.org/10.5435/00124635-201107000-00001
Lachiewicz, Paul F. “Abductor tendon tears of the hip: evaluation and management.J Am Acad Orthop Surg 19, no. 7 (July 2011): 385–91. https://doi.org/10.5435/00124635-201107000-00001.
Lachiewicz PF. Abductor tendon tears of the hip: evaluation and management. J Am Acad Orthop Surg. 2011 Jul;19(7):385–91.
Lachiewicz, Paul F. “Abductor tendon tears of the hip: evaluation and management.J Am Acad Orthop Surg, vol. 19, no. 7, July 2011, pp. 385–91. Pubmed, doi:10.5435/00124635-201107000-00001.
Lachiewicz PF. Abductor tendon tears of the hip: evaluation and management. J Am Acad Orthop Surg. 2011 Jul;19(7):385–391.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

July 2011

Volume

19

Issue

7

Start / End Page

385 / 391

Location

United States

Related Subject Headings

  • Tendons
  • Tendon Injuries
  • Rupture
  • Plastic Surgery Procedures
  • Orthopedics
  • Magnetic Resonance Imaging
  • Humans
  • Hip Joint
  • 3202 Clinical sciences
  • 1103 Clinical Sciences