期刊
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
卷 99, 期 7, 页码 853-857出版社
ELSEVIER MASSON, CORPORATION OFFICE
DOI: 10.1016/j.otsr.2013.06.005
关键词
Gluteus medius; Partial-thickness tear; Endoscopy; Hip
资金
- Amplitude company
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 degrees, 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. Level of evidence: Level IV (case series). (C) 2013 Elsevier Masson SAS. All rights reserved.
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