Bilateral Hip Abductor Tendon Repair and Gluteus Maximus Transfers: A Case Report
- PMID: 40638715
- DOI: 10.2106/JBJS.CC.24.00403
Bilateral Hip Abductor Tendon Repair and Gluteus Maximus Transfers: A Case Report
Abstract
Case: A 76-year-old woman presented with bilateral hip pain and hip abductor weakness following years of trochanteric bursa steroid injections. MRI showed injury of the hip abductor tendons bilaterally with muscle atrophy, and she underwent staged bilateral hip abductor tendon repair with gluteus maximus transfer, resulting in improvement in pain and function.
Conclusion: This is among the first reported cases of bilateral hip abductor tendon repairs with gluteus maximus transfers in a patient with native hips. Patients presenting with hip abductor insufficiency and muscle atrophy may benefit from this application of a well-documented surgery.
Keywords: HOOS; MRI; PROMIS; ROM; abductor injury; abductor repair; abductor tear; female; gait; gluteus maximus transfer; gluteus medius tear; gluteus minimus tear; mHHS; pain; patient reported outcome; repair; steroid; tendinopathy; tendinosis.
Copyright © 2025 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C647).
References
-
- Lachiewicz PF. Abductor tendon tears of the hip: evaluation and management. J Am Acad Orthop Surg. 2011;19(7):385-91.
-
- Pearce AN, Stambough JB, Mears SC, Barnes CL, Stronach BM. Diagnosis and treatment options of abductor insufficiency after total hip replacement. Orthop Clin North Am. 2022;53(3):255-65.
-
- Svensson O, Sköld S, Blomgren G. Integrity of the gluteus medius after the transgluteal approach in total hip arthroplasty. J Arthroplasty. 1990;5(1):57-60.
-
- Miozzari HH, Dora C, Clark JM, Nötzli HP. Late repair of abductor avulsion after the transgluteal approach for hip arthroplasty. J Arthroplasty. 2010;25(3):450-7.e1. doi.
-
- Whiteside LA, Nayfeh T, Katerberg BJ. Gluteus maximus flap transfer for greater trochanter reconstruction in revision THA. Clin Orthop Relat Res. 2006;453:203-10.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
