[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.
Service de rhumatologie, Hôpital neuchâtelois, La Chaux-de-Fonds.
Luc
L
Jeanneret
Patric T
PT
Kurmann
Daniel
D
van Linthoudt
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