Orthopedic Center with Orthopedist and Arthroplasty Services

MEDIUM AND MINIMUM GLUTINE MUSCLE RUPTURE SURGERY

Gluteal injuries & strain

The muscles located in the hip region are the minimus, medius, and maximus glutes. It is common for pain in the hip region to end up being associated with trochanteric bursitis. However, it could also result from tendonitis, tendinopathy, and rupture of the tendons of the gluteal muscles and injury of the gluteus minimus.

 To understand the injuries, symptoms, and treatments for the medius and minimus gluteus, please continue reading.

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About gluteal muscles

The gluteal muscles are responsible for maintaining the balance of the pelvis and trunk, and carrying out the gait movement (walking) and running. Another important role is played by the gluteus maximus muscle, which is linked to hip extension.

The medius and minimus gluteus muscles perform the abduction movement of the hip, ensuring it goes “outward” when activated without leg support.

One of the major problems related to these muscles is that they are often left out of activities related to muscle strengthening. As a result of foregoing reinforcement exercises for this region, even professional athletes are prone to weakness in the gluteal muscles.

When there is a functional deficiency in these muscles, the hip and other adjacent joints can become overloaded with the strain and force placed on them.

If tendonitis or ruptures occur, the tendons of the medius and minimus gluteus muscles are often affected. Similar to cases of ruptures that affect the rotator cuff of the shoulder, injuries of the gluteal muscles may differ according to the extent of the strain. As a result, the replacement of muscle tissue with fat may be needed in cases of chronic ruptures.

Ruptures of the gluteal tendons are often chronic and are usually linked to tendon degeneration. However, there may also be cases of acute trauma that are less frequent and are caused by abrupt movements and accidents.

Symptoms

When you’re suffering from injuries to the gluteal tendons, it’s common to experience pain in the lateral region of the hip. You may also experience weakness in the abduction force. If pressure is applied directly to the lateral tendons of your hip, the pain you feel may increase in intensity.

Trochanteric bursitis, an inflammatory condition, has a similar clinical presentation to gluteal injuries. However, the symptoms of the gluteal tendon injury are more intense and persist for a longer duration.

It’s essential to note that there is no direct relationship between the size of the tendon rupture and the intensity of the symptoms. Similar to cases of shoulder tendon injuries, smaller tears are often more painful than more extensive tears.

There may be several possible sources of lateral hip pain; hence, tendon injuries in the glutes and trochanteric bursitis are not always the reason behind these symptoms. The causes of lateral hip pain can originate in intra-articular problems, tumor metastases, external hip protrusion, and a host of other diseases.

With so many possible causes and overlapping symptoms, it’s necessary to take a diagnostic approach that covers all layers of the hip. Once an accurate diagnosis has been obtained, we can start working toward a comprehensive treatment plan for you.

Exams

The diagnosis of rupture of the abductor tendons is made based on clinical examination; this is a vital part of the diagnostic process to ensure you receive the appropriate treatments.

To eliminate any other potential causes of the symptoms, we utilize X-rays, ultrasounds, tomography, and magnetic resonance imaging (MRI). Examination analysis may indicate hypertrophy of neighboring muscles, a condition that occurs to compensate for gluteus function.

Hence, a thorough examination and analysis of the diagnostic exams will help us decide whether a conservative or surgical approach is most suitable.

Non-surgical treatments

In many cases, the non-surgical treatment of injuries to the abductor tendons is successful. In these cases, medication, infiltrations, and physical therapy are utilized to strengthen your muscles and help you regain functionality.

Surgical treatments

When there are refractory symptoms to conservative treatments and/or excessively reduced function, surgical treatments become necessary. These procedures involve repairing the affected tendons with the insertion of anchors and removing the trochanteric bursa.

Traditional methods or video arthroscopy may be used to perform the surgical treatments. In certain extreme cases, it might be impossible to completely repair tendons in the lesion of the minimus and medius gluteus. To treat such injuries, we may need to perform muscle transfer techniques to help you regain your mobility and functionality.

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Unidade Higienópolis
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