[Rotator cuff tear of the hip].
We report the observations of two women with a recurrent periarthritis of the hip complicated by a spontaneous rupture of the tendons of the gluteus medius and minimus. These patients usually complain from an acute lateral hip pain and show a Trendelenburg gait. When the rupture is complete, clinical evaluation reveals a drop of the pelvis on the non-stance side and resisted rotation starting from the extreme external rotation position is weak. MRI plays a key role in the diagnosis and the evaluation of a possible surgical repair. Hip rotator-cuff rupture is probably insufficiently diagnosed by ignorance. Nonetheless, optimized handling could relieve the pain of most these patients and improve the disability of some of them.
Jeanneret
Luc
L
Service de rhumatologie, Hôpital neuchâtelois, La Chaux-de-Fonds.
Kurmann
Patric T
PT
van Linthoudt
Daniel
D
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D025981:Hip Injuries / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010489:Periarthritis / Q000209:etiology*; D013708:Tendon Injuries / Q000175:diagnosis* / Q000601:surgery