PMID- 34977622 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2666-061X (Electronic) IS - 2666-061X (Linking) VI - 3 IP - 6 DP - 2021 Dec TI - Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up. PG - e1697-e1704 LID - 10.1016/j.asmr.2021.07.026 [doi] AB - PURPOSE: To report on clinical presentations and outcomes in patients who underwent an isolated endoscopic gluteus medius (GM) repair. METHODS: We retrospectively reviewed and prospectively collected data on patients who underwent a primary isolated endoscopic GM repair. Patients were included if the following patient-reported outcome scores were obtained preoperatively and at minimum 2-year follow-up: modified Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), and visual analog scale (VAS) score. The minimal clinically important difference (MCID) for the mHHS, NAHS, and Hip Outcome Score-Sports Specific Scale was uniquely calculated for this study. Patients who underwent concomitant procedures including hip arthroplasty and hip arthroscopy were excluded. RESULTS: A total of 26 hips met all inclusion and exclusion criteria, of which 23 hips (88.5%) (22 patients) had a minimum 2-year follow-up. Nineteen hips had a partial-thickness GM tear; 17 (89.5%) were high-grade partial-thickness tears treated with a side-to-side repair through a transtendinous window. Four full-thickness tears with no retraction or fatty infiltration were able to be repaired endoscopically. The mHHS, NAHS, and VAS score all significantly improved (P < .05) from baseline: The mHHS improved from 55.9 to 75.4 (P = .005); the NAHS, from 58.8 to 79.2 (P = .003); and the VAS score, from 5.9 to 3.6 (P = .009). The MCID was calculated for the mHHS, NAHS, and Hip Outcome Score-Sports Specific Scale as 5.8, 7.1, and 11.0, respectively. Most patients achieved the MCID for all 3 patient-reported outcome scores. CONCLUSIONS: Appropriately selected patients without concomitant intra-articular hip pathology may achieve successful outcomes at a minimum 2-year follow-up after an isolated endoscopic GM repair. Most isolated endoscopic GM repairs were performed for partial-thickness GM tears. LEVEL OF EVIDENCE: Level IV, case-series study. CI - (c) 2021 by the Arthroscopy Association of North America. Published by Elsevier Inc. FAU - Meghpara, Mitchell B AU - Meghpara MB AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. AD - AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A. FAU - Yelton, Mitchell J AU - Yelton MJ AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Glein, Rachel M AU - Glein RM AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Malik, Mohammad S AU - Malik MS AD - University of Illinois at Chicago, Chicago, Illinois, U.S.A. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Ankem, Hari K AU - Ankem HK AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. AD - AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A. AD - American Hip Institute, Chicago, Illinois, U.S.A. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. AD - AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A. AD - American Hip Institute, Chicago, Illinois, U.S.A. LA - eng PT - Journal Article DEP - 20210902 PL - United States TA - Arthrosc Sports Med Rehabil JT - Arthroscopy, sports medicine, and rehabilitation JID - 101765256 PMC - PMC8689210 EDAT- 2022/01/04 06:00 MHDA- 2022/01/04 06:01 PMCR- 2021/09/02 CRDT- 2022/01/03 05:55 PHST- 2021/06/02 00:00 [received] PHST- 2021/07/23 00:00 [accepted] PHST- 2022/01/03 05:55 [entrez] PHST- 2022/01/04 06:00 [pubmed] PHST- 2022/01/04 06:01 [medline] PHST- 2021/09/02 00:00 [pmc-release] AID - S2666-061X(21)00139-5 [pii] AID - 10.1016/j.asmr.2021.07.026 [doi] PST - epublish SO - Arthrosc Sports Med Rehabil. 2021 Sep 2;3(6):e1697-e1704. doi: 10.1016/j.asmr.2021.07.026. eCollection 2021 Dec.