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01.05.2013 | Scientific Article

Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle

verfasst von: Reto Sutter, Fabian Kalberer, Christoph A. Binkert, Nicole Graf, Christian W. A. Pfirrmann, Andreas Gutzeit

Erschienen in: Skeletal Radiology | Ausgabe 5/2013

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Abstract

Objective

To evaluate the association between hypertrophy of the tensor fasciae latae muscle and abductor tendon tears.

Materials and methods

Thirty-five patients who underwent MRI of the abductor tendons of the hip were included in this retrospective study. A subgroup of 18 patients was examined bilaterally. The area of the tensor fasciae latae muscle and the area of the sartorius muscle (size reference) were quantified at the level of the femoral head, and a ratio was calculated. Two radiologists assessed the integrity of the gluteus medius and minimus tendon in consensus. Data were analyzed with a Mann–Whitney U test.

Results

Sixteen out of 35 patients (46 %) had a tear of the gluteus medius or minimus tendon. The ratio of the area of the tensor fasciae latae to the sartorius muscle was significantly higher (p = .028) in the group with an abductor tendon tear (median 2.25; Interquartile Range [IQR] = 1.97–3.21) compared to the group without any tears (median 1.91; IQR = 1.52–2.26). The bilateral subanalysis showed that in patients without a tear, the ratio of the two areas did not differ between each side (p = .966), with a median of 1.54 (primary side) and 1.76 (contralateral side). In patients with an abductor tendon tear the ratio was significantly higher (p = .031) on the side with a tear (median 2.81) compared to the contralateral healthy side (1.67).

Conclusion

Patients with abductor tendon tears showed hypertrophy of the tensor fasciae latae muscle when compared to the contralateral healthy side and to patients without a tear.

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Titel: Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle
verfasst von: Reto Sutter
Fabian Kalberer
Christoph A. Binkert
Nicole Graf
Christian W. A. Pfirrmann
Andreas Gutzeit
Publikationsdatum: 01.05.2013
Verlag: Springer-Verlag
Erschienen in: Skeletal Radiology / Ausgabe 5/2013
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-012-1514-2

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Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle