ArticleThe American journal of sports medicine2023
Natural History of Degenerative Hip Abductor Tendon Lesions.
Article in The American journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Low quality evidence supports surgery for gluteal tendon tears, no non-surgical evidence was identified: a systematic review.BMC musculoskeletal disorders · 2026Pooled it
- Physiotherapist-led education and exercise for patients with MRI-verified hip abductor tendon pathology: a prospective cohort study.BMJ open · 2026Trial
- AI-navigated shoulder injection: precision, real-time learning and clinical translation.Frontiers in artificial intelligence · 2026Review
- Fatty infiltration of the gluteus medius and minimus muscles: volumetric analysis of both hips in patients with unilateral greater trochanteric pain syndrome using 2-point-Dixon MRI.Insights into imaging · 2025Article
- Gluteus Maximus-Tensor Fascia Lata Transfer With Double-Row Repair and Bioinductive Scaffold Augmentation for Chronic Abductor Tendon Tears.Arthroscopy techniques · 2025Article
- Transfer of the Gluteus Maximus and Tensor Fasciae Latae for Irreparable Gluteus Medius Tears Using a Double-Row Suture Anchor Transosseous Equivalent Construct With Allograft Augmentation.Arthroscopy techniques · 2025Article
- Cross-sectional fat fraction analysis of the gluteus medius and minimus muscle in asymptomatic vs. symptomatic hips using 2-point Dixon MRI.BMC musculoskeletal disorders · 2025Article
- An examination of imaging findings in patients with clinically diagnosed gluteal tendinopathy: a secondary analysis of a randomised clinical trial.Archives of orthopaedic and trauma surgery · 2025Observational
- Association between abductor tears and hip pathology: A nationwide large cohort study.Journal of orthopaedics · 2024Article
- Ultrasound-Guided Subfascial Platelet-Rich Plasma Injections Versus Enthesis Needling for Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2024Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe best treatment of degenerative hip abductor tendon lesions remains largely unknown, as the natural course of the disease has not yet been reported. The aim of the present study was to investigate the natural history of symptomatic degenerative hip abductor lesions. HYPOTHESIS: Nonoperatively treated hip abductor lesions progress over time, resulting in refractory hip pain and low functional outcomes. STUDY
designCase series (prognosis); Level of evidence, 4.
methodsConsecutive patients with greater trochanteric pain syndrome and degenerative changes on magnetic resonance imaging (MRI) of the symptomatic hip were included. Bilateral hip MRI scans and a clinical examination were performed at a minimum follow-up of 36 months to study the type and location of hip abductor lesion. Progression of a lesion was defined as a more severe lesion as compared with the initial MRI results or if the lesion extended to another, initially not involved, trochanteric facet. The muscle's fatty infiltration (FI) was also described.
resultsFrom 106 patients identified, 58 patients (64 hips) aged 66 ± 14 years (mean ± SD) agreed to return to the clinic for follow-up MRI and met the inclusion criteria. At a mean 71-month follow-up, an overall 34% (22/64) of lesions had progressed over time: from trochanteric bursitis to tendinopathy (9/64, 14%) or partial tear (5/64, 8%), from tendinopathy to partial tear (4/64, 6%), from a partial to complete tear (3/64, 4.5%), and with 1 complete tear (1/64, 1.5%) extending to another trochanteric facet. Interestingly, 90% of partial tears remained stable or transformed into a scar. Although patients with a progressive lesion experienced more trochanteric pain (visual analog scale, 4.6 vs 2.8;
conclusionNonoperative treatment might be a valid long-term option for degenerative hip abductor lesions, especially for partial tears, which demonstrated a low risk of clinically relevant progression or muscle FI and similar clinical outcomes to those reported in the literature for operatively treated hip abductor tendon lesions.
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