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Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

George D. Tsikouris, MD, GREECE Nikolaos D. Gravvanis, MD, GREECE Georgia S. Dedousi, MD, GREECE Panagiota Vlaserou, BSc in Physiotherapy, MSc Biomedical Engineer, GREECE Fanis P. Papadakis, BSc, MSc(cand.), GREECE Ioannis K. Antonopoulos, GREECE Vassilis N. Psychoyios, MD, GREECE Theodoros G. Troupis, Prof, GREECE

Athens Kolonaki Kalamata Orthopaedic & Sports Medicine Institute, Athens, Attica, GREECE

2021 Congress ePoster Presentation Not yet rated

Anatomic Location

Hip / Groin / Thigh

Anatomic Structure

Tendon Labrum

Diagnosis / Condition

Tears Impingement

Treatment / Technique

Arthroscopy

Patient Populations

Professional Athletes / Olympians

Diagnosis Method

MRI Arthro-MRI Ultrasound

Sports Medicine

Basic Science Team Physician Sport Specific Injuries Biomechanics Evidence Based Medicine Outcome Studies

Labrum

Labrum Tears Labrum Treatment

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Summary: Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment
Tsikouris D. Georgios1, 2 ,Gravvanis D. Nikolaos1 ,Dedousi S. Georgia1,Vlasserou V. Panagiota5, Papadakis P. Theofanis1, Antonopoulos Ioannis4, Psychoyios N. Vasilios3 , Troupis G. Theodoros6

1. Athens Kolonaki Kalamata Orthopaedic & Sports Medicine Institute (AKKOSMI)
2.Doctor for International Weightlifting Federation
3.Director 5thOrthopaedic Clinic General Hospital “Asklipieio” Voulas Athens
4.Anatomy Department Athens Medical School
5.Physiotherapist , Body Recovery & Health
6.Professor of Anatomy Department, Athens Medical School

Materials: The decreased performance and residual pain due to hip injury refractory to conservative treatment, can be addressed and treated appropriately with hip arthroscopy and endoscopic gluteus medius repair at the peritrochanteric area.

Purpose

To evaluate hip endoscopy at the peritrochanteric area for gluteus medius repair

Methods

From March 2015 to January 2019, 15 patients (4 males, 11 females; mean age 55 years) with gluteus medius tear underwent hip arthroscopy and endoscopy at the peritrochanteric area in our practice and were retrospectively studied. There was a 3 to 6 months period between the deterioration of symptoms which caused diminished daily activities and disability, and the surgery. Imaging studies included MRI arthrography, as well as AP pelvic, cross-table lateral and false-profile view radiographs. A muscoskeletal ultrasound was also used for assessing FAI, labral detachment, calcification and gluteus medius tear. Definite diagnosis was made intra-operatively.
The Modefied Harris Hip Score was used as an assessment tool and a hip screening including impingement sign, Dial Test, FABER, resisted AB crunch, Tredelenburg sign, 1 week prior to surgery and at the 12th post-op week. All participants followed similar post-operative rehabilitation protocol in our clinic with special modifications for the patients with cartilage lesions.

Results

Labral detachment and FAI were present in all patients whereas 5/15 had additional cartilage defects. All of themhad gluteus medius tear (9 right, 6 left hips) and 13/15 also had labral pathology. Labrum repair was performed using bio-absorbable anchors and FAI lesions were excised using the burr. Subchondral bone micro-fractures were operated in subjects with cartilage lesions.
The mean pre-op modified Harris Hip Score was 50 and improved to 82 at 12 weeks post-op indicationg very goof results. 12/25 patients were completely pain-free and returned to full activity at 12 weeks. 3/15 had residual pain due to iliopsoas tendinitis, weakness of the hip abductors and returned to an improved level of activity between 15-18 weeks. 2/15 developed long-term heterotopic ossification.

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Assessing Risk Of Osteonecrosis Of The Hip Following Intraarticular Injections: Hyaluronic Acid Versus Corticosteroid Abstract Presentation 5 minutes Nathan Varady, MD, MBA, UNITED STATES Ahab Chopra, BA, UNITED STATES Paul F Abraham, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Christopher T Eberlin, BS, UNITED STATES David Freccero, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES Scott D Martin, MD, UNITED STATES
Mid-Term Outcome and Strength Assessment after Proximal Rectus-Femoris-Refixation in Athletes ePoster Presentation Maximilian Hinz, MD, GERMANY Stephanie Geyer, MD, GERMANY Felix Winden, Cand Med, GERMANY Alexander Braunsperger, B.Sc., GERMANY Florian Kreuzpointner, PhD, GERMANY Benjamin Daniel Kleim, MBBS, MD, MRes, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Julian Mehl, MD, GERMANY
Predicting Dissatisfaction Following Total Hip Arthroplasty Using A Bayesian Model Averaging (Bma) Approach: Results From The Australian Arthroplasty Clinical Outcomes Registry (Acorn) ePoster Presentation Jan Peter Van Meirhaeghe, MD, BELGIUM Rob Molnar, MBBS, AUSTRALIA Sam Adie, BSc(Med) MBBS MSpMed MPH PhD FRACS, AUSTRALIA
Alpha Angle More Useful Than Femoral Head-Neck Offset to Predict Intra-Articular Damage in Patients with FAI Undergoing Hip Arthroscopy Abstract Presentation 5 minutes Jacob Shapira, MD, UNITED STATES Jade S Owens, BS, UNITED STATES David R. Maldonado, MD, UNITED STATES Philip Joseph Rosinsky, MD, UNITED STATES Hari Krishna Ankem, MD, UNITED STATES Bezalel Peskin, MD, ISRAEL Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Benjamin G. Domb, MD, UNITED STATES
Persistent Post-Operative Opioid Use Following Hip Arthroscopy Is Common And Is Associated With Pre-Operative Opioid Use And Age ePoster Presentation Ryan M. Degen, MD, FRCSC, CANADA J. Andrew McClure, MSc, CANADA Britney Le, MSc, CANADA Blayne Welk, MD, CANADA Jacquelyn Marsh, PhD, CANADA
Midterm Outcomes Following Hip Labral Augmentation Abstract Presentation 4 minutes Joseph J. Ruzbarsky, MD, UNITED STATES Rui Soares, BS, UNITED STATES Justin W. Arner, MD, UNITED STATES Lauren Pierpoint, PhD, UNITED STATES Maitland Martin, BS, UNITED STATES Spencer M Comfort, BS, UNITED STATES Marc J. Philippon, MD, UNITED STATES
Correlation Between Arthro-MRI Results And Intraoperative Hip Arthroscopy Findings In Fai Syndrome ePoster Presentation Christian Sobau, MD, GERMANY Konstantinos Tramountanis, MD, GERMANY Wolfgang Miehlke, MD, GERMANY Alexander Zimmerer, MD, GERMANY
Arthroscopy For Gunshot Wounds To The Hip ePoster Presentation Jorge Figueras, BS, UNITED STATES J P Ertl, MD, UNITED STATES Karchi Ertl, BS, UNITED STATES Brian Mullis, MD
Promis Validation In Hip Arthroscopy: A Shift Towards Reducing Survey Burden Abstract Presentation 4 minutes Erik Gerlach, MD, UNITED STATES Ryan S. Selley, MD, UNITED STATES Daniel Johnson, MD, UNITED STATES Richard W. Nicolay, MD, UNITED STATES Gregory Versteeg, MD, UNITED STATES Mark Andrew Plantz, BS, UNITED STATES Peter Swiatek, MD, UNITED STATES Eric Sanders, MD, UNITED STATES Bejan Alvandi, MD, UNITED STATES Vehniah K. Tjong, MD, FRCSC, UNITED STATES Michael Terry, MD, UNITED STATES
Endoscopic Iliotibial Band Release During Hip Arthroscopy For Femoroacetabular Impingement Syndrome And External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study Abstract Presentation 5 minutes 春宝李, 医学博士，博士, CHINA Shanxing Zhang, MD, CHINA
Health Literacy in Hip Arthroscopy: A Quantitative Assessment of the Understandability and Readability of Online Patient Education ePoster Presentation Alan Shamrock, MD, UNITED STATES Burke Gao, MD, UNITED STATES Olivia O'Reilly, MD, UNITED STATES Mary Kate Skalitzky, BA, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Michael C. Willey, MD, UNITED STATES Robert W. Westermann, MD, UNITED STATES
Can Hip Microinstability Be Predicted By Hip Range Of Motion Abstract Presentation 5 minutes Marc R. Safran, MD, Prof., UNITED STATES Justin Hopkins, MD, UNITED STATES Katia Elisman, BS, UNITED STATES Andrea Finlay, PhD, UNITED STATES Nicole Segovia Pham, MPH, UNITED STATES
Can BMAC Application Safely Diminish Perioperative Pain In Patients Undergoing Hip Arthroscopy? Abstract Presentation 5 minutes Michael Peter Kucharik, BS, UNITED STATES Paul F Abraham, BS, UNITED STATES Mark R. Nazal, MPH, UNITED STATES Nathan Varady, MD, MBA, UNITED STATES Wendy Madeline Meek, BBA, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Scott D Martin, MD, UNITED STATES
Efficacy Of Enoxaparin As A Thromboprophylactic Agent In Major Lower Limb Orthopedic Surgeries. ePoster Presentation Raghavendra Raju, MBBS,MS, INDIA Prasad Soraganvi, MBBS, MS, DNB, MRCS, SICOT-dip, INDIA
Arthroscopic Tendon Release for Iliopsoas Impingement after Total Hip Arthroplasty ePoster Presentation Michael Andreas Finsterwald, MD, AUSTRALIA Georgina Waters, MD, AUSTRALIA Jay R. Ebert, PhD, AUSTRALIA Christopher W. Jones, FAOrthA FRACS PhD MBBS(Hons) BEng(Hons) BCom, AUSTRALIA Piers Yates, MBBS(Hons) BSc(Hons) MRCS(Eng) FRCS(Tr & Orth) FRA, AUSTRALIA Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, AUSTRALIA
Biomechanical Assessment of the Risk of Hip Injury During A 2,000m Ergometer Row Test Abstract Presentation 5 minutes Jordan Page Ankersen, BS, UNITED STATES Stephanie S Gardner, MD, UNITED STATES Bradley S Lambert, PhD, UNITED STATES Joshua D Harris, MD, UNITED STATES Patrick C. McCulloch, MD, UNITED STATES Michael R Moreno, PhD, UNITED STATES Shari Liberman, MD, UNITED STATES
Segmental Labral Reconstruction With A Polyurethane Scaffold: Assessment Of Femoro-Acetabular Contact Mechanics Abstract Presentation 5 minutes Bruno Capurro, MD, PhD., SPAIN Marc Tey, MD, PhD., SPAIN Francisco Reina, MD, PhD, SPAIN Anna Carrera, MD, PhD., SPAIN Mauricio Gidi, MD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Assessing The Risk Of Osteoarthritis Progression And Femoral Head Collapse Following Hip Corticosteroid/Anesthetic Injection Abstract Presentation 5 minutes Paul F Abraham, BS, UNITED STATES Nathan Varady, MD, MBA, UNITED STATES Kirstin Small, MD, UNITED STATES Nehal Shah, MD, UNITED STATES Luis S Beltran, MD, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Wendy Madeline Meek, BBA, UNITED STATES Scott D Martin, MD, UNITED STATES
Hip Arthroscopy in Patients with Borderline Dysplasia. ePoster Presentation Leonel Perez Alamino, MD, ARGENTINA Daniel Fernando Veloz Serrano, Md, ARGENTINA Agustin Felipe Catan, MD, ARGENTINA Tomas Rafael Vilaseca, MD, ARGENTINA
Utilizing Laser Doppler Flowmetry To Measure Labral Blood Flow During Arthroscopic Acetabular Labral Repair Abstract Presentation 5 minutes Paul F Abraham, BS, UNITED STATES Mark R. Nazal, MPH, UNITED STATES Nathan Varady, MD, MBA, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Wendy Madeline Meek, BBA, UNITED STATES Scott D Martin, MD, UNITED STATES

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Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

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Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment

Purpose

Methods

Results

More ISAKOS 2021: Global Content