Surgical Information

Arthroscopic Gluteus Medius Repair

What is arthroscopic gluteus medius repair?

Arthroscopic gluteus medius repair is a minimally invasive procedure to inspect and repair a tear in the gluteus medius, one of the three buttock muscles. In this procedure, the surgeon makes several small incisions around the hip joint and inserts a tiny camera (called an arthroscope) to see inside the joint. Tiny suture anchors are used to sew the torn gluteus medius tendon back to the bone.

Arthroscopic surgery has many benefits to patients, including smaller incisions, less muscle and tissue trauma, less post-operative pain and a faster recovery.

Anatomy

The gluteus medius is one of the three gluteal muscles surrounding the hip. It starts in the buttock and attaches at the greater trochanter on the side of the hip. The gluteus medius helps you lift your leg to the side, stand up straight and walk steadily. Gluteus medius tears usually occur where the tendon inserts at the greater trochanter, causing lateral hip pain.

When is surgery recommended?

Most gluteus medius tears respond well to non-surgical methods including ice, rest, activity modification, anti-inflammatory drugs, physical therapy or corticosteroid injections. However, if your pain persists or worsens, or if your tear is severe, surgery may be necessary. It's important to consult a qualified sports medicine specialist to determine the appropriate treatment for your individual condition.

What is the recovery time?

Most patients spend the first six weeks in a hip brace to protect the repair as it heals. Rehabilitation begins within a few days of surgery with passive range of motion exercises and advances to active range of motion at six weeks. A sports-specific strengthening program starts at about three months post-surgery, and most athletes return to play within four months.