Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy

Lateral hip pain along with tenderness of the greater trochanter has been associated with greater trochanteric pain syndrome. Radiographically, this has been associated with gluteus medius pathology on magnetic resonance imaging. This has led some surgeons to conclude that abductor pathology is a pr...

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Main Authors:	Redmond, John M., Cregar, William M., Gupta, Asheesh, Hammarstedt, Jon E., Martin, Timothy J., Domb, Benjamin G.
Format:	Online
Language:	English
Published:	Elsevier 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427642/

id	pubmed-4427642
recordtype	oai_dc
spelling	pubmed-44276422015-05-13 Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy Redmond, John M. Cregar, William M. Gupta, Asheesh Hammarstedt, Jon E. Martin, Timothy J. Domb, Benjamin G. Technical Note Lateral hip pain along with tenderness of the greater trochanter has been associated with greater trochanteric pain syndrome. Radiographically, this has been associated with gluteus medius pathology on magnetic resonance imaging. This has led some surgeons to conclude that abductor pathology is a primary cause of lateral hip pain. Failure of conservative treatment in the setting of gluteus medius pathology may lead to surgical intervention. In some patients a focal tear of the gluteus medius cannot be visualized and likely represents more diffuse tendinopathy. In these patients we propose micropuncture of the greater trochanter. Similar procedures have shown effectiveness in the elbow and shoulder by eliciting a healing response. Our experience suggests that trochanteric micropuncture at the insertion of the gluteus medius tendon can be effectively performed endoscopically for gluteus medius tendinopathy. Elsevier 2015-02-23 /pmc/articles/PMC4427642/ /pubmed/25973381 http://dx.doi.org/10.1016/j.eats.2014.11.009 Text en © 2015 by the Arthroscopy Association of North America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Redmond, John M. Cregar, William M. Gupta, Asheesh Hammarstedt, Jon E. Martin, Timothy J. Domb, Benjamin G.
spellingShingle	Redmond, John M. Cregar, William M. Gupta, Asheesh Hammarstedt, Jon E. Martin, Timothy J. Domb, Benjamin G. Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
author_facet	Redmond, John M. Cregar, William M. Gupta, Asheesh Hammarstedt, Jon E. Martin, Timothy J. Domb, Benjamin G.
author_sort	Redmond, John M.
title	Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
title_short	Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
title_full	Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
title_fullStr	Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
title_full_unstemmed	Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy
title_sort	trochanteric micropuncture: treatment for gluteus medius tendinopathy
description	Lateral hip pain along with tenderness of the greater trochanter has been associated with greater trochanteric pain syndrome. Radiographically, this has been associated with gluteus medius pathology on magnetic resonance imaging. This has led some surgeons to conclude that abductor pathology is a primary cause of lateral hip pain. Failure of conservative treatment in the setting of gluteus medius pathology may lead to surgical intervention. In some patients a focal tear of the gluteus medius cannot be visualized and likely represents more diffuse tendinopathy. In these patients we propose micropuncture of the greater trochanter. Similar procedures have shown effectiveness in the elbow and shoulder by eliciting a healing response. Our experience suggests that trochanteric micropuncture at the insertion of the gluteus medius tendon can be effectively performed endoscopically for gluteus medius tendinopathy.
publisher	Elsevier
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427642/
_version_	1613221969890639872

Trochanteric Micropuncture: Treatment for Gluteus Medius Tendinopathy

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