Abstract
Rotator cuff tear of the hip is a term coined by Kagan et al in 1999 to describe torn tendon on the abductors of the hip, Gluteus medius and Gluteus minimus. Beside this term, several terms existed to further complicate the research on these topics and, at the same time, highlight the problem at this particular anatomic site, the trochanteric area. The problem mainly lies in the integrity of those two tendons, and recent developments in hip preservation surgery also show that it is also possible to address this problems using an endoscopic approach with comparable outcome to an open approach, akin to its counterpart on the shoulder. One must exercise vigilance to notice the pathology in this area and systematically narrow down the differential diagnosis before deciding whether to go with conservative or operative treatment. Pain in the side accompanied by coronal plane weakness, with good observation of the structures involved, could show the problem. Good conservative treatment is usually the first choice, but in cases of obvious tears, repair, whether open or endoscopic, is recommended. Good post-op management is mandatory to achieve satisfactory results.
