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Because of the asymmetric nature of the muscle, tears are more likely to occur on the thinner anterolateral portion of the tendon footprint. Gluteus medius tears range from interstitial, partial thickness tears to retracted, full\u2010thickness tears and may result from trauma, but they are more commonly the result of chronic degeneration. Patients commonly present with lateral hip pain aggravated by weight bearing and sleeping on the affected side, weakness in abduction, and the Trendelenburg sign observable on physical examination. Indications for surgery include failed conservative treatment and an ultrasound or magnetic resonance imaging study demonstrating a torn tendon. Surgical intervention aims to reapproximate and secure the torn tendon to the tendon footprint on the greater trochanter via suture anchors. Both open and endoscopic techniques have shown to be effective methods for treating gluteus medius tears at short\u2010 and long\u2010term follow\u2010up; however, endoscopic techniques have been shown to result in fewer postoperative complications, such as retear. A recent systematic review and meta\u2010analysis found patients with more severe fatty infiltration (FI) may experience greater improvement after open repair, whereas patients with less severe FI may benefit more from endoscopic treatment. A double\u2010row repair maximizes contact area between tendon and bone and has shown to be superior to single\u2010row repair with an endoscopic technique.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.05.002","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T03:06:32Z","timestamp":1657076792000},"page":"2115-2117","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Treatment of Gluteus Medius Tears"],"prefix":"10.1002","volume":"38","author":[{"given":"Morgan W.","family":"Rice","sequence":"first","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Browning","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2012.11.005"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.06.002"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.146"},{"key":"e_1_2_2_5_1","doi-asserted-by":"crossref","unstructured":"Looney AM Bodendorfer BM Donaldson ST Browning RB Chahla JA Nho SJ. Influence of fatty infiltration on hip abductor repair outcomes: A systematic review and meta\u2010analysis [published online September 8 2021].Am J Sports Med.https:\/\/doi.org\/10.1177\/03635465211027911.","DOI":"10.1177\/03635465211027911"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519877179"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.06.032"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121211022582"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.11.015"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00602"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322002857?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322002857?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.05.002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.05.002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.05.002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:54:22Z","timestamp":1773564862000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.05.002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1016\/j.arthro.2022.05.002"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.05.002","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Treatment of Gluteus Medius Tears","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.05.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}