Treatment of Gluteus Medius and Minimus Tendon Tears with a Specific Diagnostic and Surgical Technique: A Retrospective Study of 67 Patients

2013 ◽  
Vol 29 (10) ◽  
pp. e165 ◽  
Author(s):  
Konstantinos G. Makridis ◽  
Anthony Wajsfisz ◽  
Georgios Constantinos Basdekis ◽  
Patrick Djian
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Gluteus Medius ◽  
Tendon Tears

Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

1992 ◽  
Vol 05 (01) ◽  
pp. 18-21 ◽  
Author(s):  
R. Eaton-Wells
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Surgical Repair ◽  
Gracilis Muscle ◽  
Back Muscle ◽  
Suture Materials ◽  
Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

Arthroscopic Repair of the Hip Abductor Musculotendinous Unit: The Effect of Microfracture on Clinical Outcomes

2021 ◽  
pp. 036354652199967
Author(s):  
Baris Kocaoglu ◽  
Ahmet Emre Paksoy ◽  
Simone Cerciello ◽  
Matthieu Ollivier ◽  
Romain Seil ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Surgical Repair ◽  
Gluteus Medius ◽  
Arthroscopic Repair ◽  
Harris Hip Score ◽  
Level Of Evidence ◽  
Outcome Score ◽  
Significant Difference ◽  
Hip Abductor ◽  
Tendon Tears

Background: Endoscopic surgical repair has become a common procedure for treating patients with hip abductor tendon tears. Considering that retear rates are high after the repair of gluteus medius and minimus tendons, exploring alternative strategies to enhance structural healing is important. Purpose/Hypothesis: The purpose of this study was to evaluate the effect of adding microfracture to single-row repair (SR) on outcomes after the surgical repair of gluteus medius and minimus tendons and compare with SR and double-row repair (DR) without microfracture. We hypothesized that microfracture of the trochanteric footprint with SR would lead to superior clinical outcomes and lower clinically evident retear rates compared with SR and DR without the addition of microfracture. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 50 patients who underwent primary arthroscopic repair of hip gluteus medius and minimus tendon tears were investigated. Patients were divided into 3 groups: DR, 16 patients; SR, 14 patients; and SR with microfracture (SRM), 20 patients. Patients were evaluated with a visual analog scale (VAS) for pain as well as the Hip Outcome Score–Activities of Daily Living (HOS-ADL), Hip Outcome Score–Sport Specific (HOS-SS), and modified Harris Hip Score (mHHS) both preoperatively and at a minimum 2-year follow-up (mean, 30 months). Results: Among the SR, SRM, and DR groups, the greatest decrease in VAS scores and increase in mHHS, HOS-ADL, and HOS-SS scores were seen in the SRM group, and all the differences were significant ( P < .001 to P = .006). The abductor tendon retear rates were 31.3%, 35.7%, and 15.0% in the DR, SR, and SRM groups, respectively. Retear rates were lower in the SRM group compared with the SR and DR groups ( P = .042); however, there was no significant difference between the SR and DR groups ( P = .32) in terms of retear rates. Conclusion: Endoscopic SR with microfracture was a safe, practical, and effective technique and had the potential advantage of enhancing biological healing at the footprint. The addition of microfracturing the trochanteric footprint significantly lowered the retear rate and provided better functional outcomes than SR and DR without microfracture.

scholarly journals Gluteus medius tendon tears and avulsive injuries in elderly women: imaging findings in six patients.

1999 ◽  
Vol 173 (2) ◽  
pp. 351-353 ◽  
Author(s):  
C B Chung ◽  
J E Robertson ◽  
G J Cho ◽  
L M Vaughan ◽  
S N Copp ◽  
...  
Keyword(s):  
Elderly Women ◽  
Gluteus Medius ◽  
Imaging Findings ◽  
Tendon Tears

Surgical Technique: Open Gluteus Medius Repair

2014 ◽  
pp. 877-882
Author(s):  
Thomas H. Wuerz ◽  
Adam B. Yanke ◽  
James Rosneck
Keyword(s):  
Surgical Technique ◽  
Gluteus Medius

Reconstruction of columellar defects: Which surgical technique to choose? A retrospective study of 18 patients

2018 ◽  
Vol 71 (11) ◽  
pp. 1664-1678
Author(s):  
Claire Bergel ◽  
Abdullah Alshukry ◽  
Nathalie Kerfant ◽  
Cecile Philandrianos ◽  
Jacques Bardot ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Technique

Reconstruction of the Posterior Canal Wall with Proplast

1984 ◽  
Vol 92 (3) ◽  
pp. 329-333 ◽  
Author(s):  
John J. Shea ◽  
Bruce T. Malenbaum ◽  
William H. Moretz
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Success Rate ◽  
Ossicular Chain ◽  
Cell System ◽  
Canal Wall ◽  
Radical Mastoidectomy ◽  
Posterior Canal ◽  
Modified Radical Mastoidectomy ◽  
Made In

Many ears with prior radical or modified radical mastoidectomy operations can be rehabilitated by reconstruction of the posterior canal wall with the porous biocompatible implant material Proplast. Many techniques have been advanced for reconstruction of the posterior canal wall and/or obliteration of the mastoid bowl. We prefer reconstruction of the posterior canal wall to obliteration of the mastoid bowl on the theoretical grounds that with obliteration you lose the pneumatic buffer of the mastoid air cell system and you might be burying infection and/or cholesteatoma in the depths of the mastoid. In this article we shall present our results with elimination of the open mastoid bowl by reconstruction of the posterior canal wall with Proplast. A retrospective study of 83 consecutive patients who underwent reconstruction of the posterior canal wall with Proplast during the 5-year period 1974 to 1978 was undertaken. The surgical technique consisted of rebuilding the tympanic membrane, when necessary, repairing the ossicular chain, when necessary, and reconstructing the posterior canal wall. The overall success rate for the posterior canal wall reconstructions was 46% (38 of 83). However, after modifications were made in the technique, especially in the use of thicker fascia and/or perichondria and periosteum over the Proplast, the success rate increased dramatically to 68% (19 of 28).

scholarly journals Association of tensor fascia lata hypertrophy and fatty infiltration in the presence of abductor tendon tears: a radiographic study

2021 ◽  
Author(s):  
Matthew Quinn ◽  
James Levins ◽  
Mohammadali Mojarrad ◽  
Ryan O’Donnell ◽  
Steven DeFroda ◽  
...  
Keyword(s):  
Fatty Infiltration ◽  
Volume Ratio ◽  
Gluteus Medius ◽  
Hip Surgery ◽  
Prior History ◽  
Tensor Fascia Lata ◽  
Cross Sectional ◽  
Hip Abductor ◽  
History Of ◽  
Tendon Tears

ABSTRACT Hip abductor tendon tears of the gluteus medius and minimus are becoming a well-recognized source of pain and dysfunction, primarily in middle-age females. Like the rotator cuff, fatty infiltration (FI) can occur after tearing of these tendons. While the association of TFL hypertrophy after abductor tendon tears has been established, its association with FI has not been well studied. Our hypothesis is that hypertrophy of the TFL will be associated with FI of the abductors. All patients &gt;18 years old undergoing primary surgical repair for a confirmed tears on MRI, without a history of prior hip surgery or osteoarthritis, were included. The following measurements were obtained from MRI: TFL cross-sectional area, TFL:sartorius volume ratio, and modified Goutallier grade of gluteus medius and minimus. Seventy patients met inclusion criteria and were divided in two groups, those with (n = 28) and those without FI (n = 42) of the abductors. The FI group was on average older (65 versus 58 years, P &lt; 0.00016). TFL hypertrophy and TFL:sartorius volume ratio were significantly associated with FI (P= 0.00069). Following abductor tendon tear and subsequent FI, there exists significant TFL hypertrophy in patients without a prior history of hip surgery in our patient cohort.

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