• 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
  • Dr. Domb!

    Thanks again for everything

  • Dr. Domb!

    Thanks again for everything

Gluteus Medius Tears

The gluteus medius is a muscle on the outside of the hip, which is important for abduction (lateral movement away from the body). These muscles help one stand up right and walk without a limp. Gluteus medius tears, also known as the rotator cuff tear of the hip, involve tearing of the gluteus medius muscle from its attachment to the greater trochanter, commonly known as the “lateral hip bone”. Gluteus medius tears may cause persistent pain mimicking trochanteric bursitis. They may also cause weakness and limping. When physical therapy and injections in the trochanteric bursa do not provide lasting relief, the diagnosis of gluteus medius tear should be suspected. In many cases, a torn gluteus medius can be repaired arthroscopically by sewing the torn part of the gluteus medius tendon back to the bone using tiny suture-anchors. This procedure has a high success rate in treating pain, and restoring strength to the gluteus medius muscle.

If the tear is too large, an open gluteus medius repair may be undertaken. Similar anchors are used to stabilize the repair or the tendon to the bone. In rare cases where the gluteus medius is atrophied, the gluteus maximus may be transfered restoring strength and function to the hip abductors.

Recovery

Postoperative recovery from a gluteus medius repair involves 6 weeks of restricted weight bearing with crutches or an assisted device and 6 weeks in a hip brace. This protects the repair during the early healing phases.

Surgical Video

Endoscopic Repairs of Full Thickness Gluteus Medius Tears 2013

Partial Thickness Tears of the Gluteus Medius Rationale and Technique for Transtendinous Endoscopic Repair 2010

Publications by Dr. Domb on Gluteus Medius Tears

Surgical Videos Addressing Gluteus Medius Tears:

Gluteus medius: transtendinosus repair - Hip arthroscopy

Hip arthroscopy: gluteus medius repair - double row suture bridge technique