Evidence map›Paper›PMID 33044606›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Arthroscopic management of greater trochanter pain syndrome and abductor tears has demonstrated promising results in terms of improvement in pain scores and functional outcomes: a scoping review.

Jeffrey Kay, Muzammil Memon, Dror Lindner, Filippo Randelli, Olufemi R Ayeni

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. The Gluteus Medius Experiences Significant Excursion With Hip Flexion.Arthroscopy, sports medicine, and rehabilitation · 2023
    Article
  10. Article
  11. Article
  12. Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  13. Rehabilitation After Gluteus Medius and Minimus Treatment.Arthroscopy, sports medicine, and rehabilitation · 2022
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Jeffrey KayDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main St. W. HSC 4E15, Hamilton, ON, L8N 3Z5, Canada.
Muzammil MemonDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main St. W. HSC 4E15, Hamilton, ON, L8N 3Z5, Canada.
Dror LindnerDepartment of Orthopaedic Surgery, Yitzhak Shamir Medical Center, Zriffin, Israel.
Filippo RandelliHip Department (CAD), Gaetano Pini, CTO Orthopedic Institute, University of Milan, Milan, Italy.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main St. W. HSC 4E15, Hamilton, ON, L8N 3Z5, Canada. ayenif@mcmaster.ca.ORCID http://orcid.org/0000-0003-4219-8564
McMaster University · CATel Aviv University · ILUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGreater trochanteric pain syndrome (GTPS) refers to the constellation of signs and symptoms related to pain in the trochanteric region and has recently replaced the previously ubiquitous term of 'greater trochanteric bursitis'. GTPS is common, particularly in women 50-79 years of age, and the understanding and management of GTPS have expanded considerably in recent years to include management with arthroscopic and endoscopic techniques in recalcitrant cases. The purpose of this scoping literature review was to summarize the current evidence on arthroscopic management of GTPS including sources of evidence, key concepts, and gaps in the literature.

methodsA thorough electronic database search included studies published from 2009 to June 14, 2020. A total of 52 peer-reviewed articles were identified within the literature on arthroscopic or endoscopic management of GTPS.

resultsOf the 52 identified papers, 12 were technique descriptions, 10 papers were review articles, and 30 papers were original clinical papers. Of the 30 clinical papers, 24 (80%) were of level IV evidence, 5 (17%) were of level III evidence, and 1 (3%) was level II evidence. Among the 30 clinical studies, 988 patients were included with 761 (77%) female. Indications for surgical management included a failed trial of conservative management in all 30 studies, typically after a period of 3-6 months. Surgical management consisted of arthroscopic/endoscopic abductor tendon repair in 16 (53%) studies, arthroscopic/endoscopic bursectomy and iliotibial band release in 12 (40%) studies, and arthroscopic/endoscopic gluteal tendon contracture release in 2 (7%) studies.

conclusionOverall, results following arthroscopic management of GTPS and abductor tears have been promising, including significantly improved pain scores and functional outcomes at final post-operative assessment. These studies support continued use and investigation of arthroscopic management strategies of GTPS and pave the way to conduct larger prospective studies to confirm these results in the future. LEVEL OF EVIDENCE: IV.

Indexed as

BursitisFemaleFemurHumansPainProspective StudiesTendonsAbductor tearArthroscopic surgeryEndoscopic surgeryGreater trochanteric pain syndrome

Identifiers

PMID33044606
OpenAlexW3092128748

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.