An examination of imaging findings in patients with clinically diagnosed gluteal tendinopathy: a secondary analysis of randomised clinical trial

Review written by Dr Seth O’Neill info

Key Points

  1. Tendon tears are common (42%) in people with gluteal tendinopathy.
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BACKGROUND AND OBJECTIVE

Gluteal tendinopathy (GT) is a common condition affecting women more than men. MRI and X-rays have historically been used to guide interventions but the correlation between imaging and severity of symptoms remains unclear.

This study provided a secondary analysis of LEAP which was a three armed randomized controlled trial. The trial compared 1) Education and Exercise, 2) corticosteroid injection and 3) wait and see.

This secondary analysis examines the type, severity and location of gluteal tendon pathology on imaging and the relationship between these findings and patient reported pain, function and disability.

Gluteal tendinopathy is a common condition affecting women more than men.
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Education and exercise is an effective first-line approach, even for patients with partial or full-thickness tendon tears.

METHODS

  • Imaging findings (MRI and Xray) were examined in 204 (167 Females) participants with a diagnosis of GT. Importantly the inclusion criteria of the main RCT required positive testing on the Grimaldi test battery – previously published and pathology within the
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