Merrill Christian A, Fleisig Glenn S, Arceo Cristian, Jebeles Nicole A, Emblom Benton A
American Sports Medicine Institute, Birmingham, Alabama, USA.
Arthrosc Tech. 2022 Sep 17;11(10):e1787-e1791. doi: 10.1016/j.eats.2022.06.015. eCollection 2022 Oct.
Endoscopic gluteus medius repair is indicated after failed conservative management for debilitating peritrochanteric hip pain. In our experience, most of these surgeries are performed on women, 45 to 75 years old. Often for undersurface high-grade partial-thickness tears and some small full-thickness tears, a single-row repair technique is performed. For larger, full-thickness tears, a double-row repair is often performed. For minimal, superficial, partial-thickness tears with a longitudinal component of tearing through the gluteus medius tendon, a side-to-side repair is performed. Short-term follow-up shows significant improvements in hip outcome score for activities of daily living and in numeric rating scale.
对于导致衰弱的转子周围髋部疼痛，保守治疗失败后可考虑行内镜下臀中肌修复术。根据我们的经验，这些手术大多针对45至75岁的女性进行。对于臀中肌下表面高级别部分厚度撕裂以及一些小的全层撕裂，通常采用单排修复技术。对于较大的全层撕裂，则常采用双排修复。对于极小的、表浅的、伴有沿臀中肌腱纵向撕裂成分的部分厚度撕裂，进行侧对侧修复。短期随访显示，日常生活活动的髋关节结局评分和数字评定量表均有显著改善。
