Traumatic Avulsion of Gluteus Tendons Associated With Posterior Fracture-dislocation of the Femoral Head: A Case Report

JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00531. doi: 10.2106/JBJS.CC.19.00531.

Abstract

Case: We report the case of a patient who suffered traumatic avulsion of the gluteus medius and minimus tendons associated with posterior fracture-dislocation of the femoral head. The patient was treated with open reduction and internal fixation, followed by gluteus tenodesis with intraosseous anchors.

Conclusion: Although in isolation, gluteus medius or gluteus minimus tendons tear, hip dislocation, and head fractures are relatively common injuries; the concurrence of these lesions is noteworthy for its rarity. This patient had an uneventful postoperative evolution, with a complete functional recovery, healing of the femoral head fracture and the tendons, and absence of signs of avascular necrosis.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Buttocks / injuries
  • Femur Head / diagnostic imaging
  • Femur Head / injuries*
  • Femur Head / surgery
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Hip Dislocation / complications*
  • Hip Dislocation / diagnostic imaging
  • Hip Dislocation / surgery
  • Hip Fractures / complications*
  • Hip Fractures / diagnostic imaging
  • Hip Fractures / surgery
  • Humans
  • Male
  • Tendon Injuries / etiology*
  • Tendon Injuries / surgery
  • Tomography, X-Ray Computed