![]() Patients were given baseline questionnaires preoperatively that assessed the following PROs: mHHS, NAHS, HOS-SSS, and a VAS pain scale of 0-10, with 0 representing no pain and 10 representing worst pain possible. All data collection received institutional review board approval. While the present study represents a unique analysis, data on some patients in this study may have been reported in other studies. Patients who met all inclusion criteria and had a minimum 2-year follow-up were analyzed.Īll patients participated in the American Hip Institute Hip Preservation Registry. Patients were excluded if they had undergone previous ipsilateral hip surgery had previous ipsilateral hip conditions, such as Perthes, avascular necrosis, slipped capital femoral epiphysis, or femoral head or acetabulum fractures had Tönnis classification >1 were younger than 50 years were unwilling to participate in research or had missing data regarding their return to preoperative activities. Patients were considered eligible for inclusion if they (1) had undergone a GM repair with or without concomitant central and peripheral compartment procedures (2) had baseline preoperative scores for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain and (3) had participated in a physical activity or sport within 1 year before their surgery. We hypothesized that the majority of patients would be able to return to their activity of choice and demonstrate improved PROs at the latest follow-up, with high satisfaction after their surgery. The purpose of this study was to report on return to activity, PROs, and a uniquely calculated minimal clinically important difference (MCID) at a minimum 2-year follow-up for active patients who had undergone either an endoscopic or an open GM repair. 1, 6, 31 However, there is a paucity of literature regarding return to activity for patients undergoing surgical repair of GM tears. ![]() ![]() Use of both open and endoscopic GM repair techniques has been successful, with improvements in patient-reported outcomes (PROs) at short- and midterm follow-ups. 15, 16, 22, 23, 32 Surgery is indicated when treatment with these conservative measures for at least 3 months has failed. Treatment for GM tears initially begins with activity modification, anti-inflammatory pain medications, physical therapy, extracorporeal shock therapy, corticosteroid injections, and platelet-rich plasma injections. 26 As a result, physical activity may decline and lead to negative implications for the general health and well-being of patients with GM tears. 12 Additionally, activities of daily living, such as sleeping, walking, or stair climbing, are commonly disrupted because of GM tears. 13, 38 It has been shown that some patients with greater trochanteric pain syndrome are less likely to be employed full time and show levels of disability and quality of life similar to the levels associated with end-stage hip osteoarthritis. 39 GM tears are part of a larger entity known as greater trochanteric pain syndrome, with symptoms of chronic lateral hip pain, abductor weakness, and gait dysfunction. 2 The prevalence in the general population ranges from 10% to 25%. GM tears tend to be degenerative and commonly occur in women between the ages of 40 and 60 years. 36 Therefore, tears of the GM can lead to physical impairment from inadequate coronal plane pelvic control. In activities, such as running, the GM produces the most significant mean peak muscle force and abduction torque of all hip muscles and absorbs ground-reaction forces in the loading phase. 36 This function is especially crucial for those who adhere to an active lifestyle. 27 The gluteus medius (GM) is one of the essential hip muscles that maintain coronal plane stability in the upright position. 27 When these muscles are injured, many routine movements involving both functional and recreational activities can be affected. ![]() In total, 21 muscles cross the hip, which provides strength, control, and stability for the body’s central pivot point. 43 As the population older than 60 years is expected to be nearly 28% of the total population by 2100, it is becoming increasingly important to help older people maintain a healthy and active life. 4, 30 According to a World Health Organization report, approximately 3.2 million deaths each year are attributable to physical inactivity. Physical inactivity in the elderly is related to many noncommunicable chronic health conditions globally.
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