PMID- 33104387 OWN - NLM STAT- MEDLINE DCOM- 20210114 LR - 20210114 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 48 IP - 14 DP - 2020 Dec TI - Differences in Clinical Presentations and Surgical Outcomes of Gluteus Medius Tears Between Men and Women. PG - 3594-3602 LID - 10.1177/0363546520966335 [doi] AB - BACKGROUND: Gluteus medius (GM) tears often occur in women aged >50 years. There is a paucity of literature comparing sex-based differences in those undergoing GM repair. PURPOSE: To report differences between women and men in clinical presentations and patient-reported outcome (PRO) scores at a minimum 2-year follow-up after undergoing GM repair. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were prospectively collected and retrospectively reviewed. All included patients had postoperative scores for the following PROs: modified Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and International Hip Outcome Tool-12. Men were propensity score matched 1:3 to women according to concomitant arthroscopic procedures and follow-up time. Clinical effectiveness was determined through a uniquely calculated minimal clinically important difference (MCID) for the mHHS and NAHS specific to this study population. RESULTS: Thirteen men were successfully propensity score matched to 39 women. Women and men were 55.87 +/- 11.0 and 62.38 +/- 11.63 years old (mean +/- SD), respectively (P = .02). Men were at increased risk for associated lumbar pathology as compared with women (relative risk, 3.32; P = .02). Women showed significant improvement from preoperative to minimum 2-year follow-up for the mHHS (59.32 +/- 15.36 to 83.81 +/- 16.82; P < .01), NAHS (56.23 +/- 15.61 to 83.78 +/- 17.66; P < .01), HOS-SSS (33.35 +/- 20.28 to 67.88 +/- 32.35; P < .01), and visual analog scale (5.48 +/- 2.00 to 1.93 +/- 2.29; P < .01). Similarly, men showed significant improvement for the mHHS (63.50 +/- 16.41 to 84.77 +/- 13.91; P < .01), NAHS (61.52 +/- 9.87 to 84.42 +/- 14.87; P < .01), HOS-SSS (33.97 +/- 21.20 to 63.62 +/- 26.20; P < .01), and visual analog scale (4.93 +/- 2.69 to 1.86 +/- 2.10; P < .01). The MCIDs for the mHHS and NAHS were calculated to be 7.89 and 7.24. Of the women, 28 (72%) and 34 (87%) met the MCID for the mHHS and NAHS. Eleven (85%) men met the MCID for the mHHS and NAHS. CONCLUSION: These results suggest that women and men can both benefit after GM repair. Men were older and had increased risk for associated lumbar pathology than women at the time of surgery. Men and women both experienced significant improvements in PROs and compared favorably in terms of clinical effectiveness at a minimum 2-year follow-up. FAU - Meghpara, Mitchell B AU - Meghpara MB AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. FAU - Bheem, Rishika AU - Bheem R AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Haden, Marshall AU - Haden M AD - University of Illinois at Chicago, Chicago, Illinois, USA. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. LA - eng PT - Journal Article DEP - 20201026 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Activities of Daily Living MH - Aged MH - *Arthroscopy MH - Female MH - Follow-Up Studies MH - Hip Injuries/*surgery MH - Hip Joint/physiopathology/*surgery MH - Humans MH - Male MH - Middle Aged MH - Muscle, Skeletal/*injuries MH - Patient Reported Outcome Measures MH - Propensity Score MH - Retrospective Studies MH - *Sex Factors MH - Treatment Outcome OTO - NOTNLM OT - gender OT - gluteus medius OT - hip arthroscopy OT - hip endoscopy EDAT- 2020/10/27 06:00 MHDA- 2021/01/15 06:00 CRDT- 2020/10/26 17:11 PHST- 2020/10/27 06:00 [pubmed] PHST- 2021/01/15 06:00 [medline] PHST- 2020/10/26 17:11 [entrez] AID - 10.1177/0363546520966335 [doi] PST - ppublish SO - Am J Sports Med. 2020 Dec;48(14):3594-3602. doi: 10.1177/0363546520966335. Epub 2020 Oct 26.