Morgan Gauthier, Cristobal Duda, Sana Boudabbous, Matthieu Zingg, Didier Hannouche
{"title":"臀中肌腱断裂何时应该手术?","authors":"Morgan Gauthier, Cristobal Duda, Sana Boudabbous, Matthieu Zingg, Didier Hannouche","doi":"10.53738/REVMED.2024.20.899.2380","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 899","pages":"2380-2386"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[When should a gluteus medius tendon rupture be operated on ?]\",\"authors\":\"Morgan Gauthier, Cristobal Duda, Sana Boudabbous, Matthieu Zingg, Didier Hannouche\",\"doi\":\"10.53738/REVMED.2024.20.899.2380\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":21286,\"journal\":{\"name\":\"Revue medicale suisse\",\"volume\":\"20 899\",\"pages\":\"2380-2386\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revue medicale suisse\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.53738/REVMED.2024.20.899.2380\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revue medicale suisse","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53738/REVMED.2024.20.899.2380","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[When should a gluteus medius tendon rupture be operated on ?]
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.
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.