title: Clinical results of endoscopic treatment without repair for partial thickness gluteal tears.
abstract: Various surgical treatments have been proposed for greater trochanteric pain syndrome (GTPS) related to gluteal tendinopathy with partial thickness tears. The clinical results of endoscopic debridement without repair of these gluteal tears are not well known. The objectives of this study were to determine if this procedure leads to: (1) reduction of pain, (2) functional improvement, (3) patient satisfaction (on scale of 0 to 10).
  
  
  
  Endoscopic treatment without tendon repair provides short-term pain relief in patients with GTPS due to partial thickness gluteal tears.
  
  
  
  Seventeen patients (16 women, 1 man) with GTPS due to partial thickness gluteal tears that was present for at least 6 months and was refractory to conservative treatment were included in the analysis. The average age at the time of the procedure was 53.5years (17-71). Pain was evaluated with a visual analogue scale (VAS). Functional outcomes were defined using the Harris Hip Score and the UCLA activity score. Satisfaction was evaluated using a VAS and Odom's criteria.
  
  
  
  The average follow-up was 37.6months (12-48). The average preoperative and follow-up values were respectively: (1) Pain: 7.2±1.1 (5-9) versus 3.3±1.9 (1-7) (P<0.001), (2) Harris score: 53.5±8.4 (36-68) versus 79.8±14.7 (45-96) (P<0.001). Seven patients (41.2%) were able to resume sports activities. The average satisfaction score for the surgery was 6.2±2.4 (0-9) at follow-up. Five patients had a poor outcome at the review: four still had pain and one had recurrence of the lateral snapping hip.
  
  
  
  Endoscopic treatment without repair of partial thickness gluteal tears is a treatment option with modest clinical results for GTPS patients refractory to conservative treatment.
  
  
  
  IV, retrospective study.
authors.affiliation: CHU Carémeau, place du Pr-Debré, 30029 Nîmes cedex 9, France. Electronic address: coulomb.remy@neuf.fr.
authors.forename: R
authors.initials: R
authors.lastname: Coulomb
authors.affiliation: Clinique Médipole-Garonne, 45, rue Gironis, 31036 Toulouse cedex 1, France.
authors.forename: J
authors.initials: J
authors.lastname: Essig
authors.affiliation: CHU Carémeau, place du Pr-Debré, 30029 Nîmes cedex 9, France.
authors.forename: O
authors.initials: O
authors.lastname: Mares
authors.affiliation: CHU Carémeau, place du Pr-Debré, 30029 Nîmes cedex 9, France.
authors.forename: G
authors.initials: G
authors.lastname: Asencio
authors.affiliation: CHU Carémeau, place du Pr-Debré, 30029 Nîmes cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Kouyoumdjian
authors.affiliation: Clinique Médipole-Garonne, 45, rue Gironis, 31036 Toulouse cedex 1, France.
authors.forename: O
authors.initials: O
authors.lastname: May
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003646:Debridement; D004724:Endoscopy; D005260:Female; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000209:etiology / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D012008:Recurrence; D012189:Retrospective Studies; D000068958:Return to Sport; D052256:Tendinopathy / Q000150:complications / Q000601:surgery*; D013708:Tendon Injuries / Q000150:complications / Q000601:surgery*; D014945:Wound Healing; D055815:Young Adult
keywords: Arthroscopy; Gluteal tendinopathy; Greater trochanteric pain syndrome; Hip endoscopy; Trochanteric bursitis