Levy David M, Bogunovic Ljiljana, Grzybowski Jeffrey S, Kuhns Benjamin D, Bush-Joseph Charles A, Nho Shane J
Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2016 Jan 4;5(1):e1-6. doi: 10.1016/j.eats.2015.08.020. eCollection 2016 Feb.
Abductor tendon tears typically develop insidiously in middle-aged women and can lead to debilitating lateral hip pain and a Trendelenburg limp. The gluteus medius tendon is most commonly torn and may show fatty degeneration over time, similar to the rotator cuff muscles of the shoulder. Endoscopic repair offers a therapeutic alternative to traditional open techniques. This article describes the workup, examination, and endoscopic repair of a full-thickness gluteus medius tear presenting as lateral hip pain and weakness. The surgical repair for this case used a single-row suture anchor technique. In addition, the indications and technique for a double-row repair will be discussed.
外展肌腱撕裂通常在中年女性中隐匿性发展，可导致使人衰弱的髋部外侧疼痛和Trendelenburg跛行。臀中肌腱最常发生撕裂，随着时间推移可能会出现脂肪变性，类似于肩部的肩袖肌肉。内镜修复为传统开放技术提供了一种治疗选择。本文描述了以髋部外侧疼痛和无力为表现的全层臀中肌撕裂的检查、评估及内镜修复。该病例的手术修复采用了单排缝合锚钉技术。此外，还将讨论双排修复的适应症和技术。
