Surgical Technique for the Repair of Tears to the Gluteus Medius and Minimus Tendons of the Hip.

Introduction: We describe the surgical treatment of tears to the abductor tendons of the hip, which are typically progressive and can lead to recalcitrant pain and progressive weakness, leading to considerable difficulties with walking.

Step 1 Perform The Exposure And Identify The Tear: Place the patient in the lateral decubitus position, expose the lateral peritrochanteric space, and then identify the extent of the tear.

Step 2 Mobilize The Tendons: Mobilize the typically scarred-in tendons from the surrounding tissue to allow the tendon to be brought back down to the trochanter.

Surgical treatment of hip abductor tendon tears.

Background: Greater trochanteric pain syndrome is a common orthopaedic condition related to underlying bursitis, but it may reflect gluteal tendinopathy with tendon disruption from the greater trochanter. Our goal was to evaluate our clinical experience with surgical repair of these tears.

Methods: We retrospectively evaluated a consecutive series of twenty-two patients (twenty-three hips) with a tear of the hip abductor tendons who underwent surgical reconstruction and were followed for a minimum of five years.