Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation
Andreas Ladurner, Jane Fitzpatrick & John M O'Donnell
There was good evidence for using platelet-rich plasma in grades 1 and 2 tendinopathy. Shockwave therapy, exercise, and corticosteroids showed good outcomes, but the effect of corticosteroids was short term. Bursectomy with or without iliotibial band release was a valuable treatment option in grades 1 and 2 tendinopathy. Insufficient evidence was available to provide guidelines for the treatment of partial-thickness tears. There was low-level evidence to support surgical repair for grades 3 (partial-thickness tears) and 4 (full-thickness tears) tendinopathy. Fatty degeneration, atrophy, and retraction can impair surgical repair, while their effect on patient outcomes remains controversial.
|citation||Ladurner A, Fitzpatrick J, O'Donnell J M. Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation. Orthop J Sports Med 2021; 9:23259671211016850.|
|type||journal paper/review (English)|
|date of publishing||29-07-2021|
|journal title||Orthop J Sports Med (9/7)|