Surgical Repair of the Gluteal Tendons: A Report of 72 Cases
Section snippets
Patients and Methods
This study was carried out under the approval of the Western Sydney Area Health Service Ethics Review Board with informed consent from all patients. Between 2000 and 2008, 161 patients referred to the senior author had lateral hip pain as one of their major symptoms; 121 of these patients then underwent surgery for their severe and unremitting trochanteric pain, which had remained unresponsive to nonoperative treatment. Of this group, 16 patients had severe osteoarthrosis of the hip requiring
Results
The patients completed a Merle d'Aubergine and Postel hip scoring system [6] before surgery and again at the 6 months postsurgery and then at the follow-up visits. Eighty-nine patients were contacted for follow-up. Seventy-six percent of the patients had follow-up via mail and telephone questionnaire. Eighty-three patients responded. Six (7%) of 89 were lost to follow-up. Of these, 11 were excluded, leaving 72 patients with complete data at a minimum of 12 months. The reasons for exclusion were
Discussion
We propose that gluteal tendon detachment is a source of the pain in the syndrome termed recalcitrant trochanteric bursitis. Previous studies have also described gluteal tendinopathy as a separate clinical entity 2, 7, 8, 9, with some advising surgical repair 2, 8. Our study supports the view that surgery improves the condition. The tendon failure occurs in a predictable fashion always starting anteriorly and progressing posteriorly. The reason for this can be explained anatomically. The
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Cited by (0)
The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.03.004.