Evidence map›Paper›PMID 40536522›Full record

Observational studyArchives of orthopaedic and trauma surgery2025

An examination of imaging findings in patients with clinically diagnosed gluteal tendinopathy: a secondary analysis of a randomised clinical trial.

Alison Grimaldi, Anthony Nasser, Rebecca Mellor, Bill Vicenzino

Abstract readObservational Study
In one paragraph

Observational study in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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

4 authors.

Alison GrimaldiUniversity of Queensland, Brisbane, Australia. info@dralisongrimaldi.com.
Anthony NasserUniversity of Technology Sydney, Sydney, Australia.
Rebecca MellorUniversity of Queensland, Brisbane, Australia.
Bill VicenzinoUniversity of Queensland, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report tendon pathology present on imaging and relationships to pain, function and disability in participants with gluteal tendinopathy (GT) who participated in a multi-centre randomised clinical trial. MATERIALS AND

methodsImaging findings were examined in 204 participants with GT. Magnetic Resonance Images (MRI) and x-ray were evaluated against pre-determined criteria by experienced radiologists, blind to clinical findings, who reported on location of tendon pathology, presence and severity of tendon tears and location and presence of calcification. Severity of changes seen on MRI were scored and analyses for relationships to pain, function and disability were performed.

resultsInformation on location and severity of tendon pathology was available for 202 (99%) of the 204 LEAP trial participants. Tendon pathology was commonly present in both the gluteus medius (GMed) and gluteus minimus (GMin) tendons (130/202; 64%), with tears in one or both tendons in 85 (42%) participants. Of 99 tears across both tendons, 77 (78%) were partial-thickness and 22 (22%) were full-thickness in nature. The anterior aspect of the GMed tendon and the posterior aspect of the GMin tendon were most afflicted. Calcifications at the lateral ilium or greater trochanter were evident on x-ray in 73 (36%) participants. Pain, function and disability were not associated with the severity of changes on MRI.

conclusionIn a clinical trial of people with GT, a substantial number of participants had multiple tendons affected, as well as concomitant tendon tears and calcification. MRI detected changes were not associated with levels of pain, function or disability.

Indexed as

TendinopathyAdultAgedButtocksFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMulticenter Studies as TopicRadiographyRandomized Controlled Trials as TopicSecondary Data AnalysisButtocksGluteal tendinopathyGluteal tendon tearsGTPSHipTrochanteric bursitis

Identifiers

PMID40536522
PMCPMC12179227

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.