Acute Traumatic Avulsion of the Gluteus Medius Muscle in a Patient With no History of Hip Pain: A Case Report

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Salvador José Gómez Bermúdez
Juan Esteban Quiroz Álvarez
Víctor Avendaño Arango
José Luis Moore Velásquez

Abstract

Introduction: We report a clinical case of a woman with a complete acute avulsion of the gluteus medius muscle at its distal insertion in the greater trochanter, with an evolution of less than 24 hours from the onset of peritrochanteric pain and in the absence of a clear trigger or documented chronic degenerative wear. Anteroposterior (AP) pelvis and lateral hip radiographs were taken during her evaluation in the emergency department in view of the suspected diagnosis, with subsequent confirmation of the findings with magnetic resonance imaging (MRI). The patient was treated with a reconstructive surgical technique within the first week of the injury with excellent clinical and functional outcomes.
Conclusion: Acute traumatic avulsion of the gluteus medius muscle is a pathology with a low incidence, which means that the available evidence to guide its management is scarce. This clinical case is presented with the intention of exposing the clinical and diagnostic approach to this entity and showing a management option with satisfactory results.

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How to Cite
Gómez Bermúdez, S. J., Quiroz Álvarez, J. E., Avendaño Arango, V., & Moore Velásquez, J. L. (2022). Acute Traumatic Avulsion of the Gluteus Medius Muscle in a Patient With no History of Hip Pain: A Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(5), 715-720. https://doi.org/10.15417/issn.1852-7434.2022.87.5.1552
Section
Case Presentations
Author Biographies

Salvador José Gómez Bermúdez, Universidad del Bosque, Bogotá, Colombia

Universidad del Bosque, Bogotá, Colombia

Juan Esteban Quiroz Álvarez, Pablo Tobón Uribe Hospital, Medellin, Colombia

Pablo Tobón Uribe Hospital, Medellin, Colombia

Víctor Avendaño Arango, Pablo Tobón Uribe Hospital, Medellin, Colombia

Pablo Tobón Uribe Hospital, Medellin, Colombia

José Luis Moore Velásquez, Pablo Tobón Uribe Hospital, Medellin, Colombia

Pablo Tobón Uribe Hospital, Medellin, Colombia

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