Gluteus Medius and Minimus Tendon Tears
The gluteus medius and minimus are large muscles on the outside of the hip that help lift the leg away from the body and keep the pelvis level while walking.
The Rotator Cuff of the Hip
These tendons perform a role similar to the rotator cuff muscles of the shoulder, although they are much larger and must support the body during standing and walking.
How the Tendons Tear
The gluteus medius and minimus tendons attach to the greater trochanter, the prominent bone on the outside of the hip. Over time, the tendons can weaken, partially tear or pull away from the bone.
These tears are commonly associated with aging, arthritis and chronic irritation around the outside of the hip. They may also occur after an injury or in younger, highly active patients.
Common Symptoms
Most Gluteal Tendon Tears Do Not Require Surgery
Initial treatment usually focuses on a prolonged course of nonsurgical care. Many patients improve with strengthening, activity modification and treatment of inflammation around the outside of the hip.
Physical Therapy
Therapy is the most important starting point and focuses on gluteal strength, pelvic stability, balance and improved walking mechanics.
Cortisone Injection
An injection around the inflamed bursa may reduce pain and allow patients to participate more effectively in therapy. The injection is directed around the painful tissues rather than into the torn tendon itself.
Surgical Repair
Repair may be considered when a patient has persistent pain, weakness or limping despite a substantial course of therapy and other nonsurgical treatment.
Persistent Outer Hip Pain or Weakness?
We can determine whether your symptoms are caused by bursitis, a gluteus medius or minimus tear, hip arthritis or another source of pain and recommend an appropriate treatment plan.
This information is educational and does not replace an individual medical evaluation.