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

Journal of Arthroplasty Aug 22, 2020

Rosinsky PJ, Bheem R, Meghpara MB, et al. - This study 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, patients undergoing THA for osteoarthritis were retrospectively reviewed. Researchers matched 50 cases of asymptomatic GMM pathology with 50 hips without GMM pathology on MRI. The findings revealed that those with asymptomatic GMM pathology experience inferior 2-year postoperative patient-reported outcomes compared with a matched group in patients undergoing THA for osteoarthritis. The results imply that data should raise awareness surrounding this important pathology’s negative effect on surgical outcomes, therefore warranting elevated vigilance, and possibly justifying concomitant treatment, even in cases of asymptomatic GMM tears.

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