Hip Abductor Tendon Injuries: Diagnosis and Management Strategies

» Abductor tendon tears of the hip are debilitating injuries that disproportionately affect older women, with presentations ranging from incidental findings on imaging to chronic atraumatic degeneration. They can also occur as an iatrogenic injury during primary hip arthroplasty. Diagnosis includes radiographs and magnetic resonance imaging. Management of these injuries remains difficult and controversial. Contemporary nonoperative modalities have variable results. A myriad of surgical techniques exists for recalcitrant cases with overall positive outcomes. For irreparable tears, salvage procedures including allograft reconstruction or tendon transfers have been described with variable results.