Treatment options:
Nonoperative management
- Physical therapy
- Nonsteroidal anti-inflammatory drugs
- Activity modification with assistive walking devices.
Surgical alternatives
- Endoscopic or open direct soft-tissue repair
- Suture anchor repair
- Bone tunnel repair
- Graft jacket reconstruction
- Gluteus maximus muscle transfer.
Indications for surgery
Absolute indications
Magnetic resonance imaging (MRI) evidence of gluteus medius and/or complete abductor complex avulsion
Relative indications
Pain and disability for >6 months despite conservative therapy (including nonsteroidal anti-inflammatory drugs [NSAIDs] and physical therapy)
MRI evidence of gluteus medius or gluteus minimus tendinitis and/or a partial tear.
