Endoscopic Iliotibial Band Release for External Snapping Hip Syndrome

Ilizaliturri, Víctor M.; Martinez-Escalante, Felipe A.; Chaidez, Pedro A.; Camacho-Galindo, Javier

doi:10.1016/j.arthro.2005.12.030

Cited by 158 publications

(137 citation statements)

References 5 publications

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“…In addition to this, resection of part of the ITB and the accommodation of the remaining parts over the anterior and posterior aspects of the GT can cause further deformity. This novel procedure is technically easier than the one described by Ilizaliturri et al [6] as it only requires a simple tenotomy to the GMT. On the other hand, ITB preservation hinders instrument maneuverability.…”

Section: Discussionmentioning

confidence: 99%

“…Since our primary objective was to describe the new technique, this does not jeopardize our observations. Second, ours was not a randomized study comparing the new technique to the one described by Ilizaliturri et al [6], so we cannot say whether our technique is equivalent or superior to another. However, seven of our nine patients were completely relieved of snapping after recovering from the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The first perforating artery is below the GMT and may be damaged only if the tenotomy is performed too deep. When compared to previously described open techniques [2,9,13,14] and to the arthroscopic technique described by Ilizaliturri et al [6], the complete resolution of symptoms in seven of nine hips is satisfactory. The two hips that failed to have their snapping/pain resolved had a visible GM contracture and hypotrophy before surgery.…”

Section: Discussionmentioning

confidence: 99%

“…White et al [13] performed a step-cut procedure of the ITB over the trochanter in 16 patients, and 14 had improvement of the pain and snapping. Ilizaliturri et al [6] were the only ones that performed an arthroscopic procedure, which involved a diamond-shaped resection of the ITB in 11 patients. Ten patients had complete resolution of the pain and snapping, and one patient had improvement but not resolution of the symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The procedures attempt to decrease the tension of the ITB complex as it passes over the GT [10]. Only Ilizaliturri et al [6] have described an endoscopic procedure to relieve symptoms. The principle of their procedure is to create a diamond-shaped ITB defect over the GT, thereby decreasing tension.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Polesello

Queiroz

Domb

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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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. Level of Evidence Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Polesello

Queiroz

Domb

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Snapping Hip

Ooij¹,

Schafroth²

2011

Evidence‐Based Orthopedics

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Ultrasound‐Guided Percutaneous Iliotibial Band Release for External Coxa Saltans

Coulomb

Cascales

Marès

et al. 2020

J of Ultrasound Medicine

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The surgical treatment of external coxa saltans is not standardized. Many techniques for iliotibial release have been described, both open and arthroscopic. No technique describes ultrasound release. In this cadaveric study, we describe a minimally invasive technique for percutaneous iliotibial release with ultrasound guidance, designed to be performed under local anesthesia. The future objective would be to perform an active intraoperative test of the snapping hip to confirm adequate release, thus reducing the risk of recurrence.

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Endoscopic Iliotibial Band Release for External Snapping Hip Syndrome

Cited by 158 publications

References 5 publications

Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Snapping Hip

Ultrasound‐Guided Percutaneous Iliotibial Band Release for External Coxa Saltans

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