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Asymptomatic gluteal tendinopathies negatively impact outcomes of total hip arthroplasty: A propensity-score matched study

Journal of Arthroplasty Aug 01, 2020

Rosinsky PJ, Bheem R, Haden M, et al. - This research was intended to correlate outcomes after total hip arthroplasty (THA) in patients with the preoperative asymptomatic gluteus medius and minimus (GMM) pathology to a control group with no GMM pathology. Between August 2012 and March 2018, researchers retrospectively examined patients undergoing THA for osteoarthritis (OA). They compared patients with asymptomatic GMM pathology in a 1:1 ratio to patients without GMM pathology on MRI. They further examined the postoperative clinical exam, radiographic measures, complications, and revisions for both groups. They compared 50 cases of asymptomatic GMM pathology with 50 hips without GMM pathology on MRI. Those with asymptomatic GMM pathology experience inferior two-year postoperative PROs in comparison with a matched group in patients undergoing THA for OA. This data should raise awareness surrounding this important pathology’s negative effect on surgical outcomes, therefore warranting elevated vigilance, and possibly verifying concomitant treatment, even in cases of asymptomatic GMM tears.

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