External Snapping Hip Treated by Effective Designed N-plasty of the Iliotibial Band

Park, Jong-Seok; Kim, Woo Jong; Lee, Dhong Won; Soh, Jaewan; Won, Sung Hun; Lee, Sang‐Woo; Moon, Sang-Il; Kim, Hyoung-Ye

doi:10.5371/hp.2017.29.3.187

Cited by 6 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four studies [ 3 , 12 – 14 ] provided detailed information on inclusion and exclusion criteria. Six studies [ 24 , 40 , 44 , 59 , 68 , 70 ] specified some degree of information, like previous hip pathologies or surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies provided information on comorbidities (medical history and smoking) [ 3 , 14 ], while three studies [ 11 , 40 , 43 ] had some information on relevant patient characteristics (BMI and profession). The remaining 16 studies did not offer specific details on demographics and comorbidities.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, six studies originated from Europe ( n = 122) [ 12 , 14 , 43 , 52 , 59 , 70 ], six from North America ( n = 56) [ 8 , 22 , 44 , 57 , 62 , 71 ], five from Asia ( n = 87) [ 11 , 24 , 39 , 40 , 68 ], three from Australia/New Zealand ( n = 97) [ 3 , 10 , 13 ] and one from South America ( n = 8) [ 42 ]. The studies were published between 1986–2020 (snapping group) and 1979–2021 (non-snapping group).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The effect of iliotibial band surgery at the hip: a systematic review

Jensen

Lund

Lange

2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Current literature presents a variety of surgical interventions aimed at modifying the iliotibial band (ITB) at the hip to relieve lateral hip pain (LHP). However, a focus towards the hip abductors as a main driver in LHP has evolved in the last decade, which could influence the indications for isolated ITB surgery. No previous review has been undertaken to evaluate isolated ITB surgery in LHP cases. Purpose The purpose of this systematic review was to evaluate isolated ITB surgery in LHP patients in relation to pain, snapping, use of non-surgical treatments postoperatively, and repeated surgery. Methods The study was reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The study was registered in Prospero (CRD42021216707) prior to initiation. A systematic search of literature on PubMed and Embase as well as bibliography screening on adult patients undergoing isolated ITB surgery with or without additional bursectomies was performed. Due to the lack of reliable data, no meta-analysis was performed. Results A total of 21 studies (360 patients) were considered eligible for inclusion. The snapping and non-snapping group consisted of 150 and 210 patients, respectively. The mean follow-up time in the snapping group was 30 months and 19 months in the non-snapping group. Utilizing different surgical techniques, complete pain relief was not achieved in 12% of patients in the snapping group and 36% of the patients in the non-snapping group. In the snapping group, snapping was eliminated in 95% of patients, and five of 150 patients (3%) had repeated surgery. Eight of nine non-snapping studies reported information regarding repeated surgery, in which seven of 205 patients (3%) received repeated surgery. Conclusion ITB surgery at the hip remains widely adopted, although only level 4 studies are available, and little information exists on the long-term clinical, as well as patient reported outcomes. Based on the available data, we found indication of a positive short-term outcome in LHP with snapping regarding elimination of snapping, pain reduction, reuse of non-surgical treatment, and repeated surgery. In LHP with no snapping, we found limited evidence supporting ITB surgery based on current literature.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of iliotibial band surgery at the hip: a systematic review

Jensen

Lund

Lange

2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Yoon et al [ 17 ] performed a similar technique but did not release the gluteus maximus, but Park et al . [ 19 ] chose arthroscopically modified N-plasty to release the iliotibial band. The clinical outcomes of previous studies are summarized in Table I .…”

Section: Discussionmentioning

confidence: 99%

Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome

Chu

Hsu

Tang

et al. 2021

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

This study evaluated the outcomes of arthroscopic surgery for the treatment of external snapping hip at 2- to 10-year follow-ups. Eighteen patients with refractory external snapping hip treated by arthroscopic surgery were enrolled in this prospective study. All patients underwent unsuccessful conservative treatment for more than 3 months before surgery. We made diamond-shaped defects on the iliotibial band and resected peripheral fibrosis tissues for iliotibial band release with an arthroscopic approach. The visual analog scale (VAS), modified Harris hip score and return to previous level of activity were evaluated as functional outcomes. In addition, residual discomfort or the presentation of complications was also investigated. The average follow up period was 7 years. The modified Harris hip score increased from 70.08 preoperatively to 93.14 postoperatively, and the VAS score decreased from 3.67 preoperatively to 1.17 2 weeks after the operation and declined to 0.33 at the last follow-up. Neither recurrence of snaps nor complications were recorded. Two patients complained of a tight sensation with tenderness after exertion. Our clinical outcomes were compatible with those of previous studies, and no long-term complications were noted, even with a relatively longer follow-up period than what was reported in previous studies. Arthroscopic surgery is a safe and effective treatment that can provide promising long-term clinical outcomes for patients with refractory external snapping hip.

show abstract

“…Complications associated with surgery have been reported [1,7] and included abductor weakness, Trendelenburg gait, persistent hip pain, continued snapping, sensory deficit of the lateral femoral cutaneous nerve, painful bursa, and infection [1,7]. The reasons for failure of conservative treatment are not fully understood [3,22,[34][35][36][37]. Previous studies could not determine prognostic factors that would lead to surgery.…”

Section: Discussionmentioning

confidence: 99%

External snapping hip syndrome is associated with an increased femoral offset

Andronic

Rahm

Singh

et al. 2021

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Background External snapping hip syndrome (ESH) is postulated to be one of the causes of greater trochanteric pain syndrome, which also includes greater trochanteric bursitis and tendinopathy or tears of the hip abductor mechanism. However, it was not yet described what kind of bony morphology can cause the snapping and whether symptomatic and asymptomatic individuals have different imaging features. Purpose It was the purpose of this study to look for predisposing morphological factors for ESH and to differentiate between painful and asymptomatic snapping. Methods A consecutive cohort with ESH and available magnetic resonance imaging (MRI) between 2014 and 2019 was identified. The control group consisted of patients that underwent corrective osteotomies around the knee for mechanical axis correction and never complained of hip symptoms nor had undergone previous hip procedures. The following parameters were blindly assessed for determination of risk factors for ESH: CCD (corpus collum diaphysis) angle; femoral and global offset; femoral antetorsion; functional femoral antetorsion; translation of the greater trochanter (GT); posterior tilt of the GT; pelvic width/anterior pelvic length; intertrochanteric width. Hip and pelvic offset indexes were calculated as ratios of femoral/global offset and intertrochanteric/pelvic width, respectively. For the comparison of symptomatic and asymptomatic snapping, the following soft-tissue signs were investigated: presence of trochanteric bursitis or gluteal tendinopathy; presence of surface bony irregularities on trochanter major and ITB (Iliotibial band) thickness. Results A total of 31 hips with ESH were identified. The control group (n = 29) consisted of patients matched on both age (± 1) and gender. Multiple regression analysis determined an increased hip offset index to be independent predictor of ESH (r = + 0.283, p = 0.025), most likely due to the higher femoral offset in the ESH group (p = 0.031). Pearson correlation analysis could not identify any significant secondary factors. No differences were found between painful and asymptomatic snapping on MRI. Conclusions A high hip offset index was found as an independent predictor for external snapping hip in our cohort, mainly due to increased femoral offset. No imaging soft-tissue related differences could be outlined between symptomatic and asymptomatic external snapping. Level of evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00590.

show abstract

External Snapping Hip Treated by Effective Designed N-plasty of the Iliotibial Band

Cited by 6 publications

References 16 publications

The effect of iliotibial band surgery at the hip: a systematic review

The effect of iliotibial band surgery at the hip: a systematic review

Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome

External snapping hip syndrome is associated with an increased femoral offset

Contact Info

Product

Resources

About