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Gluteus Medius Tendinopathy

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https://www.readbyqxmd.com/read/30244629/gluteus-medius-tears-of-the-hip-a-comprehensive-approach
#1
Collin LaPorte, Marci Vasaris, Leland Gossett, Robert Boykin, Travis Menge
Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing is present in many cases of GTPS. Pathology of the gluteus medius can result in significant hip pain, loss of motion, and decreased function. Affected patients characteristically have symptoms including lateral hip pain and a Trendelenburg gait, which may be refractory to conservative management such as non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, and injections...
September 22, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/30241561/a-double-blind-randomised-control-trial-investigating-the-efficacy-of-platelet-rich-plasma-versus-placebo-for-the-treatment-of-greater-trochanteric-pain-syndrome-the-hippo-trial-a-protocol-for-a-randomised-clinical-trial
#2
Eshan Oderuth, Mohammed Ali, Ismael Atchia, Ajay Malviya
BACKGROUND: Greater trochanteric pain syndrome (GTPS) is a painful condition characterised by pain around the greater trochanter usually affecting middle-aged women. The majority of patients will improve with conservative management such as physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs); however, if this fails then more invasive treatments including corticosteroid injections and surgery may be required. Platelet-rich plasma (PRP) is an autologous blood product, which has a higher concentration of growth factors postulated to provide enhanced healing and anti-inflammatory properties...
September 21, 2018: Trials
https://www.readbyqxmd.com/read/30145319/muscle-activation-during-fast-walking-with-two-types-of-foot-orthoses-in-participants-with-cavus-feet
#3
Gabriel Moisan, Martin Descarreaux, Vincent Cantin
The aim of this study was to quantify the effects of foot orthoses (FOs) with and without a lateral bar on muscle activity of participants with cavus feet. Fifteen participants were recruited from the Université du Québec à Trois-Rivières students and podiatry clinic. The muscle activity of the tibialis anterior, fibularis longus, gastrocnemius lateralis and medialis, vastus medialis and lateralis, biceps femoris and gluteus medius were recorded during fast walking under two experimental conditions (FOs with and without a lateral bar) and a control condition (shoes)...
August 18, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29550694/new-lower-limb-gait-biomechanical-characteristics-in-individuals-with-achilles-tendinopathy-a-systematic-review-update
#4
REVIEW
Ikponmwonsa Ogbonmwan, Bhavesh D Kumar, Bruce Paton
BACKGROUND: Variations in lower-limb biomechanics have recurrently been associated as aetiological factors for Achilles tendinopathy. OBJECTIVE: To update a previous systematic review examining lower-limb gait biomechanics in Achilles tendinopathy. DESIGN: Systematic Review. DATA SOURCES: MEDLINE, EMBASE, CINAHL PLUS, SPORTDiscus and PUBMED databases searched from inception to May 2016. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies investigating adults with Achilles tendinopathy and lower-limb gait biomechanics including kinematics, kinetics, dynamic plantar-pressures, temporospatial parameters and muscle activity...
May 2018: Gait & Posture
https://www.readbyqxmd.com/read/29324458/ultrasound-imaging-and-guided-injection-for-the-lateral-and-posterior-hip
#5
Ke-Vin Chang, Wei-Ting Wu, Henry L Lew, Levent Özçakar
Ultrasound has emerged as one of the most utilized tools to diagnose musculoskeletal disorders and to assist in interventions. Traditionally, sonographic examination of the hip joint has been challenging because most of the major structures are deeply situated, thus requiring the use of curvilinear transducer for better penetrance. The posterior lateral hip is a frequent area for musculoskeletal pain and nerve entrapments. Common disorders include greater trochanteric pain syndrome, gluteus medius tendinopathy, piriformis syndrome, pudendal neuralgia, and proximal hamstring tendinopathy...
April 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28675778/hip-abductor-muscle-activity-during-walking-in-individuals-with-gluteal-tendinopathy
#6
K Allison, S E Salomoni, K L Bennell, T V Wrigley, F Hug, B Vicenzino, A Grimaldi, P W Hodges
The external hip adduction moment during walking is greater in individuals with gluteal tendinopathy (GT) than pain-free controls. Although this likely represents a greater demand on the hip abductor muscles implicated in GT, no study has investigated activation of these muscles in GT. For this purpose, fine wire electrodes were inserted into the segments of the gluteus minimus and medius muscles, and surface electrodes placed on the tensor fascia lata, upper gluteus maximus, and vastus lateralis muscles of eight individuals with, and eight without, GT...
February 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28066748/the-use-of-platelet-rich-plasma-to-augment-conservative-and-surgical-treatment-of-hip-and-pelvic-disorders
#7
REVIEW
Matthew J Kraeutler, Tigran Garabekyan, Omer Mei-Dan
BACKGROUND: In recent years, platelet-rich plasma (PRP) has gained popularity within the orthopaedic community as a treatment modality to enhance tissue healing. PURPOSE: This review aims to concisely present the current indications for PRP injections in the treatment of hip and pelvic pathologies and to describe some novel applications for PRP which have not yet been reported in the literature. METHODS: We reviewed the literature on the non-operative and operative indications for PRP in the treatment of hip and pelvic pathologies...
July 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27943098/incidence-of-greater-trochanteric-pain-syndrome-in-patients-suspected-for-femoroacetabular-impingement-evaluated-using-magnetic-resonance-arthrography-of-the-hip
#8
Grazia Pozzi, Ezio Lanza, Cleber Garcia Parra, Ilaria Merli, Luca Maria Sconfienza, Alberto Zerbi
OBJECTIVES: We evaluated the incidence of greater trochanter pain syndrome (GTPS) in patients who underwent magnetic resonance arthrography (MRA) of the hip for a suspected femoroacetabular impingement (FAI) syndrome. METHODS: Hip MRA performed at our institution (3/2012-1/2014) were reviewed. The absence/presence of FAI (cam, pincer, and mixed) was noted. GTPS diagnosis was based on gluteus medius/minimus tendinopathy/tears, trochanteric bursitis, fascia lata thickening, and trochanter bone oedema/erosion...
March 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/27868077/platelet-rich-plasma-injections-with-needle-tenotomy-for-gluteus-medius-tendinopathy-a-registry-study-with-prospective-follow-up
#9
James J Lee, Julian R Harrison, Kwadwo Boachie-Adjei, Elizabeth Vargas, Peter J Moley
BACKGROUND: Gluteal tendinopathy is a prevalent condition that can be associated with significant pain and disability. To date, no studies have prospectively assessed the efficacy of intratendinous platelet-rich plasma (PRP) injections as a minimally invasive treatment for gluteus medius tendinopathy. PURPOSE: To prospectively assess the efficacy of intratendinous PRP injections as treatment for chronic recalcitrant gluteus medius tendinopathy. STUDY DESIGN: Case series; Level of evidence, 4...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27367574/running-related-gluteus-medius-function-in-health-and-injury-a-systematic-review-with-meta-analysis
#10
REVIEW
Adam Semciw, Racheal Neate, Tania Pizzari
Running is a popular sport and recreational physical activity worldwide. Musculoskeletal injuries in runners are common and may be attributed to the inability to control pelvic equilibrium in the coronal plane. This lack of pelvic control in the frontal plane can stem from dysfunction of the gluteus medius. The aim of this systematic review was therefore to: (i) compile evidence of the activity profile of gluteus medius when running; (ii) identify how gluteus medius activity (electromyography) varies with speed, cadence and gender when running; (iii) compare gluteus medius activity in injured runners to matched controls...
October 2016: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/27351165/-not-available
#11
REVIEW
U Dorn, F Landauer, T Hofstaedter
Gluteal tendinopathy as well as partial and full-thickness tears of gluteal tendons (gluteus minimus and/or medius tendon) were underestimated as a cause of chronic pain in the past, and treatment was most commonly based on the diagnosis of trochanteric bursitis. Tendinous pathologies can either stay asymptomatic or cause pain and muscular dysfunction, not necessarily being associated with osteoarthritis of the hip 1. As the terminus "rotator cuff tear of the hip" was published in 1997 2, its aetiopathogenesis was reconsidered, resulting in improvements in diagnosis and treatment...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27342822/mr-imaging-of-soft-tissue-alterations-after-total-hip-arthroplasty-comparison-of-classic-surgical-approaches
#12
COMPARATIVE STUDY
Christoph A Agten, Reto Sutter, Claudio Dora, Christian W A Pfirrmann
OBJECTIVES: To compare soft-tissue changes after total hip arthroplasty with posterior, direct-lateral, anterolateral, or anterior surgical approaches. METHODS: MRI of 120 patients after primary total hip arthroplasty (30 per approach) were included. Each MRI was assessed by two readers regarding identification of surgical access, fatty muscle atrophy (Goutallier classification), tendon quality (0 = normal, 1 = tendinopathy, 2 = partial tear, 3 = avulsion), and fluid collections...
March 2017: European Radiology
https://www.readbyqxmd.com/read/27152290/calcific-tendinopathy-of-the-gluteus-medius-mimicking-lumbar-radicular-pain-successfully-treated-with-barbotage-a-case-report
#13
Hannae Jo, Gowun Kim, Sora Baek, Hee-Won Park
We report a case of calcific tendinopathy of the gluteus medius initially misdiagnosed as a lumbar herniated intervertebral disc. It was successfully treated with barbotage under ultrasonographic guidance finally. A 56-year-old woman was referred to interventional pain clinic for right hip pain due to an L5-S1 disc herniation. Serial L5 and S1 spinal nerve root blocks and epidural steroid injections were administered. However, pain relief was sustained only for a very short period. Plain radiography of the right hip revealed a solid calcific nodule at adjacent to the insertion site of the gluteus medius tendon...
April 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27139495/exercise-and-load-modification-versus-corticosteroid-injection-versus-wait-and-see-for-persistent-gluteus-medius-minimus-tendinopathy-the-leap-trial-a-protocol-for-a-randomised-clinical-trial
#14
RANDOMIZED CONTROLLED TRIAL
Rebecca Mellor, Alison Grimaldi, Henry Wajswelner, Paul Hodges, J Haxby Abbott, Kim Bennell, Bill Vicenzino
BACKGROUND: Lateral hip pain is common, particularly in females aged 40-60 years. The pain can affect sleep and daily activities, and is frequently recalcitrant. The condition is often diagnosed as trochanteric bursitis, however radiological and surgical studies have revealed that the most common pathology is gluteus medius/minimus tendinopathy. Patients are usually offered three treatment options: (a) corticosteroid injection (CSI), (b) physiotherapy, or (c) reassurance and observation...
April 30, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27131181/effects-of-two-types-of-foot-orthoses-on-lower-limb-muscle-activity-before-and-after-a-one-month-period-of-wear
#15
COMPARATIVE STUDY
Gabriel Moisan, Vincent Cantin
The purpose of this study was to quantify the effects of two types of foot orthoses (FOs) on muscle activity during walking. Twenty-one healthy participants were recruited to walk on a five-meter walkway with a control condition (no FOs) and two experimental conditions (FOs and FOs with lateral bar). The experimental protocol was performed before and after a one-month period of wear for each experimental condition. Electromyographic signals were recorded for six muscles (gluteus medius, vastus lateralis, medial gastrocnemius, lateral gastrocnemius, peroneus longus and tibialis anterior)...
2016: Gait & Posture
https://www.readbyqxmd.com/read/27011854/clinical-presentation-and-imaging-results-of-patients-with-symptomatic-gluteus-medius-tears
#16
Dror Lindner, Noam Shohat, Itamar Botser, Gabriel Agar, Benjamin G Domb
Greater trochanteric pain syndrome (GTPS) is a common complaint. Recently, it has become well recognized that tendinopathy and tears of the gluteus medius (GM) are a cause of recalcitrant GTPS. Nevertheless, the clinical syndrome associated with GM tears is not fully characterized. We characterize the clinical history, findings on physical examination, imaging and intraoperative findings associated with symptomatic GM tears. Forty-five patients (47 hips) who underwent GM repair for the diagnosis of tear were evaluated...
October 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/26432827/ultrasound-guided-fenestration-of-tendons-about-the-hip-and-pelvis-clinical-outcomes
#17
Jon A Jacobson, Joshua Rubin, Corrie M Yablon, Sung Moon Kim, Monica Kalume-Brigido, Aishwarya Parameswaran
OBJECTIVES: Percutaneous ultrasound-guided needle fenestration has been used to treat tendinopathy of the elbow, knee, and ankle with promising results. The purpose of this study was to evaluate the clinical outcome of ultrasound-guided fenestration of tendons about the hip and pelvis. METHODS: After Institutional Review Board approval, a retrospective search of imaging reports from January 1, 2005, to June 30, 2011, was completed to identify patients treated with ultrasound-guided tendon fenestration about the hip or pelvis...
November 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26260535/prevalence-and-pattern-of-gluteus-medius-and-minimus-tendon-pathology-and-muscle-atrophy-in-older-individuals-using-mri
#18
Andrew S Chi, Suzanne S Long, Adam C Zoga, Paul J Read, Diane M Deely, Laurence Parker, William B Morrison
PURPOSE: To evaluate gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI. METHODS: A retrospective MRI study of 185 individuals was performed. The inclusion criterion was age ≥50. Exclusion criteria were hip surgery, fracture, infection, tumor, or inadequate image quality. Greater trochanteric bursitis was graded none, mild, moderate, or severe. Gluteus medius, gluteus minimus, and iliopsoas tendinopathy was graded normal, tendinosis, low-grade partial tear, high-grade partial tear, or full thickness tear...
December 2015: Skeletal Radiology
https://www.readbyqxmd.com/read/26122109/mri-findings-associated-with-recalled-modular-femoral-neck-rejuvenate-and-abg-implants
#19
Christopher P Walsh, James C Hubbard, Joseph P Nessler, David C Markel
MARS-MRI is suggested for the diagnosis of adverse local tissue reactions (ALTR) in patients with recalled femoral stems with modular necks, but there has been no major study looking at MARS-MRI findings in this population. A retrospective review was performed on 312 patients who received a modular neck hip implant between October 2007 and February 2012. 62% of patients had intra-articular effusions, with 27% containing debris. Extra-capsular effusions were present in 35% of hips. 54% had synovitis and 5.4% had osteolysis...
November 2015: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26033462/outcomes-of-open-versus-endoscopic-repair-of-abductor-muscle-tears-of-the-hip-a-systematic-review
#20
REVIEW
Sivashankar Chandrasekaran, Parth Lodhia, Chengcheng Gui, S Pavan Vemula, Timothy J Martin, Benjamin G Domb
PURPOSE: To compare the outcome of open versus endoscopic gluteal tendon repair. METHODS: An extensive review of PubMed was conducted by 2 independent reviewers for articles containing at least 1 of the following search terms: gluteus medius, gluteus medius tear, gluteus medius tendinopathy, gluteus medius repair, hip abductors, hip abductor tears, hip abductor repair, hip rotator cuff, hip rotator cuff repair, trochanteric bursa, trochanteric bursitis, trochanteric bursectomy, peritrochanteric procedures, peritrochanteric repair, and peritrochanteric arthroscopy...
October 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
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