What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty?
Background: Total hip arthroplasty (THA) is generally considered a successful operation for patients with advanced hip arthritis. Hip abductor pathology can lead to diminished outcomes. The prevalence of hip abductor pathology in patients undergoing THA is not well described. Methods: Our institutio...
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Elsevier
2025-02-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002863 |
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| author | David A. Brethouwer, DO Matthew L. Brown, MD Julie C. McCauley, MPH William D. Bugbee, MD Eric Y. Chang, MD Alecio F. Lombardi, MD Brian J. Rebolledo, MD |
| author_facet | David A. Brethouwer, DO Matthew L. Brown, MD Julie C. McCauley, MPH William D. Bugbee, MD Eric Y. Chang, MD Alecio F. Lombardi, MD Brian J. Rebolledo, MD |
| author_sort | David A. Brethouwer, DO |
| collection | DOAJ |
| description | Background: Total hip arthroplasty (THA) is generally considered a successful operation for patients with advanced hip arthritis. Hip abductor pathology can lead to diminished outcomes. The prevalence of hip abductor pathology in patients undergoing THA is not well described. Methods: Our institution’s arthroplasty registry was queried to identify patients undergoing THA who had preoperative magnetic resonance imaging (MRI) of the hip or pelvis. MRIs were reviewed for presence of abductor (gluteus medius or gluteus minimus) tendon injury. Dysfunction of the abductor musculotendinous units was assessed by grading fatty infiltration of the muscle bellies using the Goutallier/Fuchs classification. Results: A total of 1090 primary THAs were performed during the study period, and 118 (10.8%) patients had a preoperative MRI of the hip or pelvis ≤12 months prior to surgery. Among the 118 patients who had an MRI, abductor tendon tears were diagnosed in 33 patients (28.0%), and tendinosis was noted in 106 patients (89.8%). Conclusions: There is a high prevalence of hip abductor pathology in patients presenting for THA. Clinicians should evaluate patients for signs of abductor tendon pathology when presenting for consideration of THA. Careful examination and MRI may be helpful to further evaluate the status of the gluteus minimus and gluteus medius musculotendinous units. |
| format | Article |
| id | doaj-art-2718404e7fa443799ffae8ccd4bb58a4 |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-2718404e7fa443799ffae8ccd4bb58a42025-02-10T04:34:31ZengElsevierArthroplasty Today2352-34412025-02-0131101601What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty?David A. Brethouwer, DO0Matthew L. Brown, MD1Julie C. McCauley, MPH2William D. Bugbee, MD3Eric Y. Chang, MD4Alecio F. Lombardi, MD5Brian J. Rebolledo, MD6Department of Orthopaedic Surgery, Adventist Health, Tulare, CA, USADepartment of Orthopaedic Surgery, Cooper University Healthcare, Camden, NJ, USADepartment of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USADepartment of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA; Corresponding author. Orthopaedic Surgery, Scripps Clinic, 10666 N. Torrey Pines Road, La Jolla, CA, 92037, USA. Tel.: +1 858 554 7980.Department of Radiology, University of California San Diego, La Jolla, CA, USADepartment of Radiology, University of California San Diego, La Jolla, CA, USADepartment of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USABackground: Total hip arthroplasty (THA) is generally considered a successful operation for patients with advanced hip arthritis. Hip abductor pathology can lead to diminished outcomes. The prevalence of hip abductor pathology in patients undergoing THA is not well described. Methods: Our institution’s arthroplasty registry was queried to identify patients undergoing THA who had preoperative magnetic resonance imaging (MRI) of the hip or pelvis. MRIs were reviewed for presence of abductor (gluteus medius or gluteus minimus) tendon injury. Dysfunction of the abductor musculotendinous units was assessed by grading fatty infiltration of the muscle bellies using the Goutallier/Fuchs classification. Results: A total of 1090 primary THAs were performed during the study period, and 118 (10.8%) patients had a preoperative MRI of the hip or pelvis ≤12 months prior to surgery. Among the 118 patients who had an MRI, abductor tendon tears were diagnosed in 33 patients (28.0%), and tendinosis was noted in 106 patients (89.8%). Conclusions: There is a high prevalence of hip abductor pathology in patients presenting for THA. Clinicians should evaluate patients for signs of abductor tendon pathology when presenting for consideration of THA. Careful examination and MRI may be helpful to further evaluate the status of the gluteus minimus and gluteus medius musculotendinous units.http://www.sciencedirect.com/science/article/pii/S2352344124002863Total hip arthroplastyAbductor deficiencyGluteus mediusGluteus minimusPrevalence |
| spellingShingle | David A. Brethouwer, DO Matthew L. Brown, MD Julie C. McCauley, MPH William D. Bugbee, MD Eric Y. Chang, MD Alecio F. Lombardi, MD Brian J. Rebolledo, MD What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? Arthroplasty Today Total hip arthroplasty Abductor deficiency Gluteus medius Gluteus minimus Prevalence |
| title | What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? |
| title_full | What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? |
| title_fullStr | What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? |
| title_full_unstemmed | What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? |
| title_short | What Is the Prevalence of Hip Abductor Pathology in Patients Undergoing Total Hip Arthroplasty? |
| title_sort | what is the prevalence of hip abductor pathology in patients undergoing total hip arthroplasty |
| topic | Total hip arthroplasty Abductor deficiency Gluteus medius Gluteus minimus Prevalence |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002863 |
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