Zhang Ting, Swift Brendan, Akhter Fauzen, Ayeni Olufemi, Almasri Mahmoud
Cincinnati Sports Medicine & Orthopaedic Center, Cincinnati SportsMedicine Research and Education Foundation, Mercy Health, Cincinnati, Ohio, U.S.A.
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Arthrosc Tech. 2024 Dec 25;14(4):103306. doi: 10.1016/j.eats.2024.103306. eCollection 2025 Apr.
Greater trochanteric pain syndrome is a prevalent cause of lateral-sided hip pain. In this Technical Note, we propose an endoscopic double-pulley technique that demonstrates gluteus medius and minimus repair via a double-row tape-bridge configuration. Our approach facilitates abductor repair in a consistent and reproducible manner using 3 to 4 peritrochanteric portals while avoiding the difficulties of antegrade or retrograde suture passage. This surgical technique is useful for high-grade partial tears, minimally retracted full-thickness tears, or refractory greater trochanteric pain syndrome with gluteal tendinopathy.
大转子疼痛综合征是髋部外侧疼痛的常见原因。在本技术说明中,我们提出了一种内镜双滑轮技术,该技术通过双排带桥结构展示了臀中肌和臀小肌修复。我们的方法使用3至4个转子周围入路,以一致且可重复的方式促进外展肌修复,同时避免顺行或逆行缝线穿过的困难。这种手术技术适用于高级别部分撕裂、最小程度回缩的全层撕裂或伴有臀肌腱病的难治性大转子疼痛综合征。