The abductor muscles of the hip are of critical importance in maintaining posture and facilitating a smooth gait. The tendons of the abductor muscles (gluteus medius and gluteus minimus) attach on the lateral prominence or “point” of the hip, also known as the greater trochanter. The abductor tendons can be injured during a fall on the side of the hip, or an abrupt hip joint motion, as when missing a step or a curb. Commonly, the tendons are subject to degenerative breakdown and wear, which weakens them significantly, predisposing them to complete tears. This can lead to significant pain and weakness, which over time can lead to altered gait and pelvic mechanics.

Patients usually complain of pain over the point of the hip. This can be worse with lying on the affected side, and is commonly associated with weakness and difficulty with gait, especially in activities like stair climbing.
The diagnosis is typically made by a combination of the patient’s history, the findings on physical examination and x-ray evaluation. An MRI scan of the area helps identify the involved tendons.
The treatment approach depends on the symptoms experienced, the age and activity level of the patient, response to conservative measures and imaging findings, among other factors. Conservative options include rest, activity modification, anti-inflammatory medication and steroid injections which have a diagnostic and therapeutic value. For patients with persistent pain and/or functional limitations, surgery is indicated. Options include minimally invasive arthroscopic treatment or open surgical fixation of the abductor tear depending on patient factors. Associated procedures may be indicated to ensure surgical success.

At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka will thoroughly evaluate your hip condition and discuss your options. If surgery is indicated, Dr. Aboka specializes in minimally invasive, Hip Arthroscopy for the treatment of Abductor Tears of the hip.

This procedure is outpatient/same-day surgery, and leads to improvement or resolution of pain, and minimal scarring and quicker recovery.