Endoscopic repair of partial-thickness undersurface tears of the gluteus medius tendon.
Partial-thickness tear of the gluteus medius and minimus muscles has recently been recognized as a cause of chronic trochanteric pain resistant to medical treatment. The present article reports an original endoscopic technique of identification and repair. It uses a standard arthroscope at 30°, with the patient in lateral decubitus, without fluoroscopy. In case of partial-thickness undersurface tear, careful hook palpation followed by bursa exploration enables the pathological tendon to be diagnosed. A trans-tendinous approach then allows debridement, with systematic resection of the bone structures implicated in the impingement, followed by side-to-side tendon suture.


METHODS
Level IV (case series).
Centre orthopédique Santy, hôpital privé Jean Mermoz, 24, avenue Paul-Santy, 69008 Lyon, France. Electronic address: mathieuthaunat@yahoo.fr.
M
M
Thaunat
R
R
Chatellard
E
E
Noël
B
B
Sonnery-Cottet
L
L
Nové-Josserand
D000368:Aged; D002081:Buttocks; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D012189:Retrospective Studies; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
Endoscopy; Gluteus medius; Hip; Partial-thickness tear