Purpose: Greater trochanteric pain syndrome is a rare disorder of the peritrochanteric region. Greater trochanteric pain syndrome is caused by repetitive friction between the greater trochanter and the iliotibial band, which results in microtrauma of the gluteal tendons and inflammation, increased tension of the iliotibial band, and degeneration of the gluteal tendons. Patients with greater trochanteric pain syndrome often report chronic intermittent lateral hip, thigh, and buttock pain and weakness of hip abduction. Pain in this region often is reproducible on palpation of the greater trochanter and is aggravated with activity. After confirmation via radiography, ultrasonography, or MRI, patients can undergo nonsurgical treatment, such as physical therapy, corticosteroid injection, platelet-rich plasma injection, and shock wave therapy. Patients in whom pain persists can undergo surgical treatment, including iliotibial band release, bursectomy, and gluteus medius tendon repair. This video demonstrates the surgical technique for the use of collagen-based bioinductive implants during gluteus medius repair.

Methods: This video discusses the case presentation of a 72-year-old woman with a history of left hip pain. Nonsurgical treatment, including corticosteroid injection, platelet-rich plasma injection, and physical therapy failed in this patient. On physical examination, the patient had greater trochanteric tenderness and resisted strength of the gluteus medius, with full range of motion. MRI confirmed a partial-thickness tear of the left gluteus medius tendon insertion. The video demonstrates gluteus medius repair with the use of a collagen-based bioinductive implant. Slight tension is applied to the implant to ensure good contact between the gluteus medius and the implant.

Results: The stability of the implant and the gluteus medius repair is confirmed endoscopically after insertion of the bone staples. The patient was prescribed a postoperative rehabilitation protocol, including specific activities and directions at 0 to 4 weeks, 0 to 6 weeks, 8 weeks, 4 months, and 6 months postoperatively.

Conclusions: Although greater trochanteric pain syndrome is uncommon, it often is painful and results in chronic intermittent lateral hip and thigh pain. This video demonstrates a promising surgical treatment option for gluteus medius repair with the use of a collagen-based bioinductive implant. Related studies on gluteus medius repair have reported positive patient outcomes. Potential complications include re-tear of the fixed tendon, recurrence of bursitis, and hematoma.