What is the recommended treatment for a patient with a ruptured gluteus muscle approximately 4 months post-injury?

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Treatment of Ruptured Gluteus Tendon at 4 Months Post-Injury

At 4 months post-injury, a ruptured gluteus medius tendon should be evaluated for surgical repair if conservative treatment has failed, particularly if you have persistent lateral hip pain, weakness, positive Trendelenburg sign, or gait disturbance. 1

Clinical Assessment at 4 Months

Your evaluation should focus on:

  • Pain severity and location: Persistent lateral hip/trochanteric pain despite conservative measures indicates surgical consideration 1
  • Functional deficits: Assess for hip abduction weakness, positive Trendelenburg sign (pelvis drops on opposite side during single-leg stance), and presence of limp 1
  • Muscle quality: Obtain MRI to evaluate for muscle atrophy and fatty degeneration using Goutallier grading—Grade 4 fatty degeneration is a contraindication to repair 2
  • Tear characteristics: Confirm tear size, location (typically anterior and lateral portions of tendon), and whether tissue is reconstructable 2, 3

Treatment Algorithm

Conservative Management Failure = Surgical Candidate

If you have completed 4 months of conservative treatment (activity modification, physiotherapy, injections) without adequate improvement, surgical repair should be performed. 1

Surgical Indications at This Timeframe:

  • Persistent pain after failed conservative treatment 1
  • Significant functional impairment (weakness, gait disturbance) 1
  • Reconstructable tendon tear with Goutallier grade 0-3 muscle quality 2
  • Patient desire to return to higher activity levels 1

Surgical Technique Options:

Open or arthroscopic double-row anchor fixation techniques provide 80-90% success rates when muscle atrophy is minimal. 2

  • Mini-open double-row technique: Uses knotless anchor fixation with suture tape in a fan-shaped pattern, providing large-area anatomic footprint contact 2
  • Endoscopic approach: Comparable outcomes to open surgery with potential for reduced soft tissue trauma 4
  • Both techniques show good results with improved pain, strength, gait, and low re-rupture rates 1

Surgical Contraindications:

  • Goutallier grade 4 fatty degeneration (severe muscle atrophy) 2
  • Non-reconstructable massive rupture with irreparable tissue 2
  • Local infection 2

Post-Surgical Rehabilitation Protocol

Following repair, expect a 6-month structured rehabilitation with strict early restrictions:

  • Weeks 0-6: Partial weight-bearing (20 kg maximum), no active abduction, no adduction, no external rotation in flexion 2
  • Week 7 onward: Free range of motion begins, active-assisted abduction initiated, progressive weight-bearing increase by 15 kg/week 2
  • Months 4-6: Gradual return to full activities, avoiding peak loads until 4 months 2
  • Thromboembolic prophylaxis until full weight-bearing achieved 2

Salvage Option for Irreparable Tears

If the tear is deemed irreparable (Type 5 rupture with severe atrophy), Whiteside transfer of gluteus maximus and tensor fascia lata provides palliative improvement in pain and function, though abduction strength gains are modest. 4

This tendon transfer procedure shows significant improvement in pain scores (VAS 8→3), functional scores (mHHS 22→55), and gait, with both open and endoscopic approaches yielding comparable results 4

Critical Timing Consideration

At 4 months, you are past the acute injury window but still within a reasonable timeframe for primary repair if tissue quality is adequate. The key determinant is muscle quality on MRI—proceed with repair if Goutallier grade ≤3, consider transfer if grade 4 with persistent symptoms. 2, 4

Common Pitfalls to Avoid

  • Delaying imaging: MRI or ultrasound confirmation is essential to assess tear size and muscle quality before deciding on treatment 1
  • Operating on severely atrophic muscle: Grade 4 fatty degeneration predicts poor repair outcomes 2
  • Inadequate post-operative protection: Early aggressive abduction or weight-bearing increases re-rupture risk 2
  • Missing associated pathology: Check for valgus proximal femur deformity, which is associated with gluteus medius tears 3

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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