Dr Ribas invited to the Annual Congress of the Italian Hip Society in Bergamo

23 September, 2019 by admin0

His presence is required this year as a recognized pioneer in the treatment of lesions of the middle and minor gluteal tendons in his area of ​​femoral insertion, often misnamed “Trochanteritis or trochanteric bursitis.” Today the Anglo-Saxon medical literature calls it Great Trochanter Pain Syndrome (GTPS).

For the reader here are the most important points of his Presentation:

1 / The Great Trochanter Pain Syndrome (painful trochanter syndrome – GTPS, which causes pain in the lateral side of the hip and functional limitation) occurs between 10 to 25% of the population at some time in life, mostly in middle-aged women, according to a review article by the newly appointed head of the hip preservation surgery unit at the Hospital for Special Surgery in New York, Professor Bryan Kelly.

2 / Among different mechanical and biological causes, the fall in the production of estrogens during menopause, which alter the quality of tensile strength of the tendons, especially in the shoulder and hip *, stands out.

2 / Other reviews show that between 40 and 68% of cases of GTPS are ruptures at the level of the insertion of the gluteus medius / minor.

3 / An inadequate treatment, depending on the degree of rupture, can put at risk the fatty degeneration of the muscle and its loss of function with the consequent lameness and functional limitation.

4 / Different degrees of injury are distinguished, according to the combined Thomas-Milwaukee classification, from which medical evidence emphasizes different treatments according to the stage.

5 / The hip unit was a pioneer in Europe in the treatment of middle and minor gluteal tears. In their study presented in 2018, at the European Hip Society in The Hague (EHS), the good clinical-functional results of the treatment of tears are demonstrated, according to the mini-invasive technique for this pathology launched in 2007, with and more than 12 years of experience through mini-invasive and arthroscopic technique.

6 / Dr Ribas explains the algorithm in the treatment of these injuries.

 

* Salini et al. “Prevalence of and risk factors for asymptomatic rotator cuff tears in postmenopausal women.” Menopause 2014 Mar; 21 (3): 275-80.


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