Asymptomatic Gluteal Tendinopathies Negatively Impact Outcomes of Total Hip Arthroplasty: A Propensity Score-Matched Study
Authors
Rosinsky PJ, Bheem R, Meghpara MB, Haden M, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.arth.2020.07.063
Background
This study investigates whether asymptomatic gluteus medius and minimus (GMM) tendinopathies affect outcomes after total hip arthroplasty (THA).
Methods
Patients who had THA for osteoarthritis were reviewed. Those with asymptomatic GMM pathology (as identified on MRI) were matched to a control group without GMM pathology. Outcomes were measured using various hip scores and patient-reported outcomes (PROs) after 2 years.
Key Findings
Patients with asymptomatic GMM pathology had worse outcomes in terms of hip function and patient satisfaction compared to those without GMM pathology.
These patients had higher rates of lateral hip pain and a slightly higher revision rate.
Conclusions
Even if GMM tendinopathies are asymptomatic, they can negatively impact the outcomes of THA. Surgeons should consider addressing this pathology during surgery.
What Does This Mean for Patients
If you are undergoing a hip replacement and have asymptomatic gluteal tendinopathy, it may affect your recovery and satisfaction post-surgery. Your surgeon may decide to treat this condition during your surgery.