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

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.5.1552
Keywords: Hip, pain, gluteus, avulsion

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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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

References

Redmond JM, Chen AW, Domb BG. Greater trochanteric pain syndrome. J Am Acad Orthop Surg 2016;24(4):231-

https://doi.org/10.5435/JAAOS-D-14-00406

Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg 2009;108(5):1662-70. https://doi.org/10.1213/ane.0b013e31819d6562

Bird PA, Oakley SP, Shnier R, Kirkham BW. Prospective evaluation of magnetic resonance imaging and physical

examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum 2001;44(9):2138-45.

https://doi.org/10.1002/1529-0131(200109)44:9<2138:AID-ART367>3.0.CO;2-M

Kenanidis E, Kyriakopoulos G, Kaila R, Christofilopoulos P. Lesions of the abductors in the hip. EFORT Open Rev

;5(8):464-476. https://doi.org/10.1302/2058-5241.5.190094

Kagan A 2nd. Rotator cuff tears of the hip. Clin Orthop Relat Res 1999 Nov;(368):135-40. PMID: 10613161.

Bunker TD, Esler CN, Leach WJ. Rotator-cuff tear of the hip. J Bone Joint Surg Br 1997;79(4):618-20.

https://doi.org/10.1302/0301-620x.79b4.7033

Lerebours FR, Cohn R, Youm T. Endoscopic treatment of gluteus medius tears: A review. Bull Hosp Jt Dis

;74(1):58-62. PMID: 26977550

Godshaw B, Wong M, Ojard C, Williams G, Suri M, Jones D. Acute traumatic tear of the gluteus medius and

gluteus minimus in a marathon runner. Ochsner J 2019;19(4):405-9. https://doi.org/10.31486/toj.18.0090

Stanton MC, Maloney MD, Dehaven KE, Giordano BD. Acute traumatic tear of gluteus medius and minimus

tendons in a patient without antecedant peritrochanteric hip pain. Geriatr Orthop Surg Rehabil 2012;3(2):84-8.

https://doi.org/10.31486/toj.18.0090

Karpinski MR, Piggott H. Greater trochanteric pain syndrome. a report of 15 cases. J Bone Joint Surg Br

;67(5):762-3. https://doi.org/10.1302/0301-620X.67B5.4055877

Ilizaliturri VM Jr, Camacho-Galindo J, Evia Ramirez AN, Gonzalez Ibarra YL, McMillan S, Busconi BD. Soft

tissue pathology around the hip. Clin Sports Med 2011;30(2):391-415. https://doi.org/10.1016/j.csm.2010.12.009

LaPorte C, Vasaris M, Gossett L, Boykin R, Menge T. Gluteus medius tears of the hip: a comprehensive approach. Phys Sportsmed 2019;47(1):15-20. https://doi.org/10.1080/00913847.2018.1527172

Fisher DA, Almand JD, Watts MR. Operative repair of bilateral spontaneous gluteus medius and minimus tendon ruptures. A case report. J Bone Joint Surg Am 2007;89(5):1103-7. https://doi.org/10.2106/JBJS.F.01201

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):503-10. https://doi.org/10.1007/s11999-011-1975-y

Chandrasekaran S, Lodhia P, Gui C, Vemula SP, Martin TJ, Domb BG. Outcomes of open versus endoscopic repair of abductor muscle tears of the hip: a systematic review. Arthroscopy 2015;31(10):2057-67.e2.

https://doi.org/10.1016/j.arthro.2015.03.042

Thaunat M, de Saint Vincent B, Caron E, Ingale PS. A Comparison of outcomes after endoscopic repair of partialversus full-thickness tears of the gluteus medius tendon. Arthroscopy 2021;37(8):2465-72.

https://doi.org/10.1016/j.arthro.2021.02.020

Nazal MR, Abraham PF, Conaway WK, Quinlan NJ, Gillinov SM, Gibbs JS, et al. Endoscopic repair of fullthickness gluteus medius and minimus tears-prospective study with a minimum 2-year follow-up. Arthroscopy 2020;36(8):2160-9. https://doi.org/10.1016/j.arthro.2020.04.025

Maldonado DR, Annin S, Chen JW, Yelton MJ, Shapira J, Rosinsky PJ, et al. Combined transfer of the gluteus

maximus and tensor fasciae latae for irreparable gluteus medius tear using contemporary techniques: short-term outcomes. JBJS Open Access 2020;5(4):e20.00085. https://doi.org/10.2106/JBJS.OA.20.00085

Vishwanathan K, Pathan SKA, Makadia RC, Chaudhary CB. Psychometric assessment of modified Harris hip score for femoral neck fracture in Indian population. Indian J Orthop 2020;54(Suppl 1):87-100.

https://doi.org/10.1007/s43465-020-00155-x

Walsh MJ, Walton JR, Walsh NA. Surgical repair of the gluteal tendons: A report of 72 cases. J Arthroplasty

;26(8):1514-9. https://doi.org/10.1016/j.arth.2011.03.004

Published
2022-10-24
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
Issue
Vol 87 No 5 (2022): ACARO
Section
Case Presentations
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