[When should a gluteus medius tendon rupture be operated on ?]

Q4 Medicine
Morgan Gauthier, Cristobal Duda, Sana Boudabbous, Matthieu Zingg, Didier Hannouche
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引用次数: 0

Abstract

The gluteus medius allows hip abduction and stabilization of the pelvis when walking. A rupture of the gluteus medius tendon is associated with lateral hip pain, weakness, a positive Trendelenburg sign, and a limp. Diagnosis is confirmed by ultrasound or MRI. In the case of a degenerative lesion, treatment is based on activity modification, physiotherapy, and injections. If conservative treatment fails, or in the case of a traumatic injury in a young patient, tendon repair surgery may be performed. Open and arthroscopic surgeries give good results with improved pain and strength, improved gait, and a low re-rupture rate. Tendon transfer may be considered in cases of re-rupture or irreparable tendon.

臀中肌腱断裂何时应该手术?
臀中肌使行走时髋外展和骨盆稳定。臀中肌腱断裂可伴有髋外侧疼痛、无力、Trendelenburg征阳性和跛行。诊断可通过超声或核磁共振确诊。在退行性病变的情况下,治疗是基于活动改变,物理治疗和注射。如果保守治疗失败,或者在年轻患者创伤性损伤的情况下,可以进行肌腱修复手术。开放和关节镜手术效果良好,疼痛和力量得到改善,步态得到改善,再破裂率较低。在肌腱再次断裂或无法修复的情况下,可以考虑进行肌腱转移。
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来源期刊
Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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