AI Article Synopsis
Article Abstract
Background: While many authors have recommended surgery for patients with persistent symptoms of external snapping hip, it is unclear which one best relieves symptoms. Concerns with iliotibial band (ITB)-modifying techniques include altering the shape of the lateral thigh and overload of the contralateral abduction mechanism. We describe a new endoscopic technique that decreases the tension of the ITB complex by releasing the femoral insertion of the gluteus maximus tendon (GMT).
Description Of Technique: Via an endoscopic approach, we tenotomize the GMT near its insertion at the linea aspera through two trochanteric portals, developing a space beneath the ITB.
Methods: We reviewed eight patients (nine hips) with external snapping hip nonresponsive to nonoperative treatment treated by endoscopic GMT release. There were seven women (one bilateral) and one man, with a mean ± SD age of 35 ± 13.1 years (range, 18-55 years). Mean symptom duration was 36 ± 20.3 months (range, 16-84 months). Minimum followup was 22 months (mean, 32 ± 9.3 months; range, 22-45 months).
Results: Snapping and pain resolved in seven patients after the initial procedure. We performed one revision procedure with complete relief of symptoms. All eight patients returned to their previous level of activity. Average modified Harris hip score was 61 points (range, 45-70 points) preoperatively and 78 points (range, 62-93 points) at latest followup. We observed no neurovascular complications.
Conclusions: Our small series suggests endoscopic release of the GMT resolves pain and snapping symptoms in most patients.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705038 | PMC |
| http://dx.doi.org/10.1007/s11999-012-2636-5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
External snapping hip due to thickened iliotibial tract: dynamic ultrasound examination and ultrasound-guided tenolysis.
Med Ultrason
December 2024
Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.
Can we encourage the endoscopic treatment for external snapping hip (ESH)? A systematic review of current concepts.
Eur J Orthop Surg Traumatol
August 2024
Department of Orthopaedic Surgery. Via Gianfranco, University of Turin, Centro Traumatologico Ortopedico (CTO), Zuretti 29, 10126, Turin, Italy.
Article Synopsis
- Snapping hip syndrome (SHS) affects up to 10% of people, with external snapping hip syndrome (ESHS) being the most common form, often caused by sports or anatomical factors; treatment options include physiotherapy and surgery if conservative approaches fail.
- A systematic review assessed 9 studies involving 403 patients who underwent endoscopic procedures like iliotibial band release and gluteus maximus tenotomy, showing significant improvements in symptoms and low complication rates.
- Endoscopic surgery proves effective for ESH, helping patients return to pre-injury activities, but further research is needed to evaluate long-term benefits and cost-effectiveness of these treatments.
Endoscopic Repair of Hip Abductor Tendon Tears: A Case Report.
J Orthop Case Rep
March 2024
Department of Orthopedics. Texas Health Research Foundation, Dallas/Ft Worth Texas, USA.
Article Synopsis
- Greater trochanteric pain syndrome is a prevalent hip condition characterized by chronic lateral hip pain, often caused by issues such as trochanteric bursitis and tendon tears, frequently misdiagnosed and untreated.
- A 51-year-old female with chronic hip pain refractory to conservative treatment for over two years underwent successful endoscopic abductor tendon repair, allowing her to return to normal activities six months post-surgery.
- The case highlights the potential benefits of advanced surgical techniques for treating chronic hip pain, demonstrating significant improvements in patient outcomes with fewer complications compared to traditional surgery.
Clinical Outcomes Following Incomplete Arthroscopic Iliotibial Band Release for External Snapping Hip Syndrome: An Observational Study.
Orthop Surg
May 2024
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Article Synopsis
- This study analyzed the effectiveness of arthroscopic iliotibial band (ITB) release for treating external snapping hip (ESH) syndrome in patients who didn’t respond to conservative treatments, focusing on those with persistent snapping after the procedure.
- Data from 33 patients over a minimum of 2 years showed that only 8.9% had incomplete releases, but none required additional surgery, and symptoms improved significantly post-rehabilitation.
- The findings suggest that a successful ITB release during arthroscopy can resolve residual symptoms of ESH syndrome without needing to shift to open surgery.
Multimodal Autonomous Locomotion of Liquid Crystal Elastomer Soft Robot.
Adv Sci (Weinh)
June 2024
State Key Laboratory of Chemical Engineering, College of Chemical and Biological Engineering, Zhejiang University, Hangzhou, 310027, China.
Self-oscillation phenomena observed in nature serve as extraordinary inspiration for designing synthetic autonomous moving systems. Converting self-oscillation into designable self-sustained locomotion can lead to a new generation of soft robots that require minimal/no external control. However, such locomotion is typically constrained to a single mode dictated by the constant surrounding environment.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!