Hip Abductor Tendinopathy: Work-Up and Open Versus Arthroscopic Repair of Hip Abductor

Hip abductor tendinopathy encompasses a constellation of etiologies all of which present with the chief complaint of lateral hip pain. It is four times more common in women and is usually seen between the fourth and sixth decades of life [5,6]. Patients with osteoarthritis, iliotibial band tenderness, low back pain, and obesity are at an increased risk [7,8]. Hip abductor tendinopathy falls under a broader classification of greater trochanteric pain syndrome (GTPS). Etiologies of GTPS include gluteus medius and minimus tendinopathy, external coxa saltans (hip snapping), and greater trochanteric bursitis [9,10]. Domb et al. & Williams et al. [7,11] relate the incidence of GTPS is approximately 1.8 per 1,000 people and classically presents as pain on the lateral aspect of the hip that can radiate to the thigh and posteriorly. Chronic, progressive pain is more common than acute-onset pain from an identifiable traumatic event [12,13].