Gluteus Medius & Minimus Repair Overview
The gluteus medius and gluteus minimus serve an important role in stabilizing the hip and pelvis, as well as providing function when patients engage in athletic activities such as running and jumping. A patient may experience injury to one or both of these structures during a fall, sports related injury or from natural wear and tear associated with aging. The most common injury to these muscles is a tear of a tendon from its attachment site on the greater trochanter. The greater trochanter is the bony part of the femur located in the posterolateral hip area. If a gluteal tendon tear is severe and causes significant pain and weakness, surgical repair will be necessary. Santa Barbara, Goleta, Santa Maria and Ventura, California orthopedic hip surgeon, Dr. Jervis Yau is experienced at performing arthroscopic gluteus medius and minimus repair.
A tear to the gluteal tendons can be a debilitating injury since both muscles work in unison to provide stabilization to the hip. An injury to one or both of these muscles or their tendon attachment sites can lead to progressive weakness, pain and loss of function.
Dr. Yau will perform a physical examination and review the radiographic findings to confirm diagnosis. Depending on the severity of injury, Dr. Yau may prescribe either activity modification and physical therapy or surgical repair. The goal of physical therapy is to control pain while strengthening the gluteal muscles.
What is the Treatment for a Gluteus Medius or Gluteus Minimus Tear?
A surgical gluteus medius or minimus repair may be necessary if symptoms do not improve with conservative treatment or if the tear is too severe. Dr. Yau commonly repairs these tendons through an arthroscopic approach using suture anchors that embed into the greater trochanter bone. The tendon is then secured to the bone through these sutures.
During the same procedure, Dr. Yau may remove the trochanteric bursa if it is inflamed and damaged. He may also perform an iliotibial (IT) band release which helps improve visualization of the tendon attachment site, as well as decrease pain associated with trochanteric bursitis.