APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Debate: Endoscopic Gluteus Medius Repairs

Debate: Endoscopic Gluteus Medius Repairs

Video Transcription

Video Summary

Joshua Harris presents endoscopic gluteus medius repair for abductor tendon pathology causing lateral hip pain, common in older patients with refractory symptoms. He highlights how abductor tears cause a Trendelenburg gait and describes diagnosis via imaging and physical exam, emphasizing treating the patient over imaging findings. Harris advocates the endoscopic approach for its minimally invasive nature, ability to concurrently address intraarticular and deep gluteal space problems, lower complication rates, and reduced opioid use compared to open surgery. He outlines the surgical technique and concludes that while non-surgical treatment often works, endoscopic repair is usually the preferred surgical method.

Asset Caption

Joshua D. Harris, M.D.

Keywords

endoscopic gluteus medius repair

abductor tendon pathology

lateral hip pain

Trendelenburg gait

minimally invasive surgery