• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7

2013 - Endoscopic Repair of Full-Thickness Gluteus Medius Tears

Abstract: Tears in the gluteus medius and minimus tendons recently have emerged as an important cause of chronic greater trochanteric pain syndrome. Increasing recognition of the gluteal insertion as a cause of chronic pain and weakness, as well as technologic advances in endoscopic hip surgery, has made gluteal insertional repair a rapidly emerging technique in minimally invasive surgery of the hip. We present an endoscopic double-row technique for gluteal insertional repair that allows for visualization, debridement, and repair, re-creating the normal footprint.

Tears in the gluteus medius and minimus tendons recently have emerged as an important cause of chronic greater trochanteric pain syndrome. Histori- cally, pain over the greater trochanter was presumed solely to be due to bursitis, but several studies have challenged this and shown gluteus tears as a source of pain. 1 Degenerative tears occur more often than acute tears, 2,3 and gluteus medius tears occur more often than gluteus minimus tears. 4,5

Tears at the insertion of the gluteus medius can be intrasubstance, partial, or complete and can occur either spontaneously or trau- matically. 4,6,7 Also referred to as the ” rotator cuff of the hip, ” these tendons pathologically share a number of similarities to those of the shoulder. In addition to repairing the tendon(s), the associated bursitis may also be treated. Although multiple publications exist regarding the treatment of bursitis, including open bursectomy and iliotibial band lengthening or release, few have addressed gluteal insertional pathologies

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