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. 2020 Feb 14;32(2):173–191. doi: 10.1589/jpts.32.173

Table 3. Operative treatments of GTPS related to GMed.

Report Cases Treatment Outcomes
Brooker AF76) Patients with refractory TB (n=5) Decompression by fenestration of bursa All cases achieved pain relief and average HHS score was improved
Kagan A77) Patients with unresponsive TB (n=7) GMed repair/fasciotomy All cases achieved pain relief and one case had weakness of the GMed
Govaert LH et al.78) Patients with chronic TB (n=12) Trochanteric osteotomy Outcomes were very good in 6/12 (50%) and good in 5/12 (41.7%)
*5 cases refractory to bursectomy Pain and physical function (Merle d’Aubigné and Postel Method) were significantly improved
Baker CL et al.79) Patients with refractory TB (n=42) Endoscopic bursectomy 44/45 (97.8%) had improved symptoms/postoperative average JOA score
Davies H et al.80) Patients with GTPS unresponsive to conservative treatment (n=16) GMed/GMin repair and bursectomy 11/16 had significant reduction of hip symptoms; 5/16 had relapse
Voos JE et al.81) Patients with GMed tear (n=10) Endoscopic gluteus medius repair All cases had complete resolution of pain; MMT of hip abd. was improved
Walsh MJ et al.82) Patients with GTPS unresponsive to conservative treatments (n=72) Gluteal tendon repairs More than 90% of cases were pain-free or had minimal pain; repair surgery significantly improved hip score
Davies H et al.83) Patients with unresponsive TB with tear of hip abd. by MRI (n=23) Open gluteal tendon repair 23/23 had significant improvement in VAS, OHS, and SF-36 PCS
Chandrasekaran S et al.84) Patients who underwent endoscopic GMed repair (n=24) Endoscopic GMed repair Age-matched non-surgery group had significantly greater strength than the surgery group; GMed strength is a possible risk factor for surgical intervention

TB: trochanteric bursitis; GTPS: greater trochanteric pain syndrome; Cs: corticosteroid; abd.: abductor; ESWT: extracorporeal shockwave therapy; PRP: platelet-rich plasma; GMed: gluteus medius; GMin: gluteus minimus; LDD: lumber degenerative disease; JOA: Japanese Orthopaedic Association; VAS: visual analogue scale; HHS: Harris Hip Score; OHS: Oxford Hip Score; SF-36: MOS Short-Form 36-Item Health Survey.