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Advances in endoscopic surgery of the hip have created opportunities to better evaluate and treat pathology in the peritrochanteric compartment. We reviewed the literature on trochanteric pain syndrome and gluteus medius tendon injuries. Existing techniques for endoscopic and open gluteus tendon repair and potential challenges in restoration of abductor function were analyzed. Partial\u2010thickness undersurface tears of the gluteus medius were identified as a common pathologic entity. Although these tears are otherwise analogous to partial\u2010thickness tears of the rotator cuff, the lack of arthroscopic access to the deep side of the gluteus medius tendon represents a unique technical challenge. To address the difficulty in visualizing and thus repairing undersurface tears of the gluteus medius, a novel endoscopic trans\u2010tendinous repair technique was developed. The purposes of this article are to review the anatomy, pathology, and existing repair techniques of gluteus medius tendon tears and to describe the rationale and surgical steps for endoscopic trans\u2010tendinous repair.<\/jats:p>","DOI":"10.1016\/j.arthro.2010.06.002","type":"journal-article","created":{"date-parts":[[2010,11,27]],"date-time":"2010-11-27T04:36:21Z","timestamp":1290832581000},"page":"1697-1705","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":154,"title":["Partial\u2010Thickness Tears of the Gluteus Medius: Rationale and Technique for Trans\u2010Tendinous Endoscopic Repair"],"prefix":"10.1002","volume":"26","author":[{"given":"Benjamin G.","family":"Domb","sequence":"first","affiliation":[{"name":"Loyola University Stritch School of Medicine Chicago Illinois U.S.A."},{"name":"Hinsdale Orthopaedics Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rima Michel","family":"Nasser","sequence":"additional","affiliation":[{"name":"Hinsdale Orthopaedics Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itamar B.","family":"Botser","sequence":"additional","affiliation":[{"name":"Hinsdale Orthopaedics Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,10,18]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31819d6562"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e31816b4471"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHM.0000140792.48248.49"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200109)44:9<2138::AID-ART367>3.0.CO;2-M"},{"key":"e_1_2_2_6_1","first-page":"187","article-title":"Gluteus medius tendon rupture as a source for back, buttock and leg pain: Case report","volume":"25","author":"Bewyer D.","year":"2005","journal-title":"Iowa Orthop J"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-004-0917-4"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0485-x"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.173.4.10511191"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-002-1740-4"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.173.2.10430134"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2005.08.004"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2211001634"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.11.015"},{"key":"e_1_2_2_15_1","first-page":"179","article-title":"The functional anatomy of tensor fasciae latae and gluteus medius and minimus","volume":"166","author":"Gottschalk F.","year":"1989","journal-title":"J Anat"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23354"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199602000-00041"},{"key":"e_1_2_2_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199804000-00029"},{"key":"e_1_2_2_19_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790618"},{"key":"e_1_2_2_20_1","first-page":"135","article-title":"Rotator cuff tears of the hip","author":"Kagan A.","year":"1999","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_2_21_1","first-page":"579","article-title":"Spontaneous rupture of the gluteus medius and minimus tendons","volume":"31","author":"Lonner J.H.","year":"2002","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_2_22_1","first-page":"640","article-title":"Gluteus medius tendon tear and degenerative hip disease","volume":"89","author":"Gabrion A.","year":"2003","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_2_2_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-37768"},{"key":"e_1_2_2_24_1","first-page":"519","article-title":"Arthroscopy of the shoulder: Technics and indications. 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