Gulledge Caleb M, Makhni Eric C
Department of Orthopedics, Henry Ford Health System, West Bloomfield, Michigan, U.S.A.
Arthrosc Tech. 2019 May 17;8(6):e585-e589. doi: 10.1016/j.eats.2019.01.019. eCollection 2019 Jun.
Lateral hip pain in patients without significant osteoarthritis may be due to a number of different etiologies. Recent attention has been placed on the role of abductor tendon (gluteus medius and minimus) deficiency in these patients. These tears, analogous to rotator cuff tears in the shoulder, may cause pain, weakness, limp, and dysfunction. Mainstays of treatment include nonoperative treatment and, in select patients, operative fixation. This article presents an overview of management of patients with symptomatic, large, retracted, chronic tears of the abductor tendons. The highlighted repair is a "double-row" repair with biological patch augmentation.
无明显骨关节炎的患者出现髋关节外侧疼痛可能由多种不同病因引起。近来，人们开始关注外展肌腱（臀中肌和臀小肌）缺损在这些患者中的作用。这些撕裂类似于肩部的肩袖撕裂，可能导致疼痛、无力、跛行和功能障碍。治疗的主要方法包括非手术治疗，以及在特定患者中进行手术固定。本文概述了有症状的、大型的、回缩的、慢性外展肌腱撕裂患者的治疗方法。重点介绍的修复方法是使用生物补片增强的“双排”修复。
