20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

GLUTEAL TEARS

The gluteus medius and gluteus minimus are two of the key muscle-tendon units that support the hip. These muscle-tendon units originate in the buttock and attach to the greater trochanter, a bony prominence on the side of the hip. Activation of the gluteal muscles allows one to lift his or her leg to the side (abduct) and extend the hip. Tendonitis or tears of the gluteus medius and/or gluteus minimus can occur after a traumatic injury or with long-term wear and tear.

Symptoms

  • Pain radiating along the outer tip of the hip (greater trochanter)
  • Weakness with lifting hip to the side (abduction)
  • Pain with sleeping on the affected side

Diagnosis And Treatment

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and usually and MRI or ultrasound of the hip to make the diagnosis of gluteus medius or minimus tear.

Non-surgical treatment includes rest, activity modification, physical therapy, and non-steroidal anti-inflammatory drugs. Steroid, anesthetic, or PRP injections may also relieve symptoms. If the patient fails non-operative management, then surgical repair of the torn tendon(s) may be the best treatment option.