PMC6928675_01
Preoperative anteroposterior radiograph shows mild spurring of bilateral acetabulae with mild joint space narrowing.
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X-ray of the hip showed mild joint space narrowing and osteopenia (Figure 1).
T1 (A) and T2 (B) coronal magnetic resonance images show high-grade retracted tear of the right gluteus medius and gluteus minimus tendon.
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Magnetic resonance imaging (MRI) of the right hip demonstrated a full-thickness tear of the right gluteus medius and gluteus minimus tendons at their greater trochanter insertion with 3.1 cm of retraction (Figure 2).
Intraoperative arthroscopic images show (A) inflammation of the right trochanteric bursa, (B) vastus lateralis ridge after debridement, (C) triple-loaded anchor placed into the trochanteric area, and (D) final image of double row construct.
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The trochanteric bursa was inflamed (Figure 3A) and was debrided (Figure 3B), exposing the gluteus medius and gluteus minimus tendon insertion points. Synthes) was placed into the trochanteric area (Figure 3C). Sutures were passed using a Mitek ExpresSew (DePuy Synthes) and tied with a modified Roeder knot. Advance Knotless Anchor in the posterior aspect of the vastus lateralis ridge (Figure 3D and Figure 4). A CLARIX regenerative matrix (Amniox Medical, Inc.) was placed over the repair site, and the repair was directly injected with CLARIX FLO (Amniox Medical, Inc.).
Illustrations demonstrate tear and repair of the gluteus medius and gluteus minimus tendons.
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Advance Knotless Anchor in the posterior aspect of the vastus lateralis ridge (Figure 3D and Figure 4). A CLARIX regenerative matrix (Amniox Medical, Inc.) was placed over the repair site, and the repair was directly injected with CLARIX FLO (Amniox Medical, Inc.).