Barraza-Silva JA, Sánchez RR, Pareyón VR, Camacho GJ

Language: Spanish
References: 16
Page: 137-141
PDF size: 254.98 Kb.

ABSTRACT

Injury to the hip abductor apparatus is a well-characterized clinical entity that conditions pain over the greater trochanter and is accompanied by progressive weakness and claudication. These injuries can occur in patients who underwent total hip replacement or with native hips. Treatment options depend on the location of the injury and the degree of fat-muscle infiltration in both situations. The muscle transfer described by Whiteside from the gluteus maximus to the greater trochanter provides adequate results for pain control and increases strength of the abductor mechanism. In this clinical case we present a patient who underwent a left total hip arthroplasty developed a complete tendon rupture of the gluteus medius, as well as the diagnostic and therapeutic approach of this injury.

REFERENCES

1. Whiteside LA. Surgical technique: transfer of the anterior portion of the gluteus maximus muscle for abductor deficiency of the hip. Clin Orthop Relat Res. 2012; 470 (2): 503-510.

2. Odak S, Ivory J. Management of abductor mechanism deficiency following total hip replacement. Bone Joint J. 2013; 95-B (3): 343-347.

3. Garcia FL, Picado CH, Nogueira-Barbosa MH. Sonographic evaluation of the abductor mechanism after total hip arthroplasty. J Ultrasound Med. 2010; 29 (3): 465-471.

4. Pfirrmann CW, Notzli HP, Dora C, Hodler J, Zanetti M. Abductor tendons and muscles assessed at MR imaging after total hip arthroplasty in asymptomatic and symptomatic patients. Radiology. 2005; 235 (3): 969-976.

5. Incavo SJ, Harper KD. Open hip abductor tendon repair into a bone trough: improved outcomes for hip abductor tendon avulsion. JBJS Essent Surg Tech. 2020; 10 (2): e0042.

6. Bunker TD, Esler CN, Leach WJ. Rotator-cuff tear of the hip. J Bone Joint Surg Br. 1997; 79 (4): 618-620. doi: 10.1302/0301-620x.79b4.7033.

7. Howell GE, Biggs RE, Bourne RB. Prevalence of abductor mechanism tears of the hips in patients with osteoarthritis. J Arthroplasty. 2001; 16 (1): 121-123.

8. Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res. 2002; (405): 46-53.

9. Lübbeke A, Kampfen S, Stern R, Hoffmeyer P. Results of surgical repair of abductor avulsion after primary total hip arthroplasty. J Arthroplasty. 2008; 23 (5): 694-698.

10. Miozzari HH, Dora C, Clark JM, Notzli HP. Late repair of abductor avulsion after the transgluteal approach for hip arthroplasty. J Arthroplasty. 2010; 25 (3): 450-457.e1.

11. Weber M, Berry DJ. Abductor avulsion after primary total hip arthroplasty. Results of repair. J Arthroplasty. 1997; 12 (2): 202-206.

12. Fehm MN, Huddleston JI, Burke DW, Geller JA, Malchau H. Repair of a deficient abductor mechanism with Achilles tendon allograft after total hip replacement. J Bone Joint Surg Am. 2010; 92 (13): 2305-2311.

13. Khan T, Knowles D. Damage to the superior gluteal nerve during the direct lateral approach to the hip: a cadaveric study. J Arthroplasty. 2007; 22 (8): 1198-1200.

14. Jolles BM, Bogoch ER. Posterior versus lateral surgical approach for total hip arthroplasty in adults with osteoarthritis. Cochrane Database Syst Rev. 2006; (3): CD003828.

15. Picado CH, Garcia FL, Marques W Jr. Damage to the superior gluteal nerve after direct lateral approach to the hip. Clin Orthop Relat Res. 2007; 455: 209-211.

16. Svensson O, Sköld S, Blomgren G. Integrity of the gluteus medius after the transgluteal approach in total hip arthroplasty. J Arthroplasty. 1990; 5 (1): 57-60.