Prospective Randomized Study of 2 Different Techniques for Endoscopic Iliopsoas Tendon Release in the Treatment of Internal Snapping Hip Syndrome

Ilizaliturri, Víctor M.; Chaidez, Carlos; Villegas, Patricio; Briseño, Arcadio; Camacho-Galindo, Javier

doi:10.1016/j.arthro.2008.08.009

Cited by 118 publications

(116 citation statements)

References 11 publications

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“…Treatment for the snapping iliopsoas tendon can include conservative measures such as rest, anti-inflammatory medications, physical therapy, and injection of corticosteroids into the iliopsoas bursa but may require in nonresponders open surgical or endoscopic release and lengthening of the iliopsoas tendon [1,2,7,8,12].…”

Section: Introductionmentioning

confidence: 99%

MR Appearance and Clinical Significance of Changes in the Hip Muscles and Iliopsoas Tendon after Arthroscopic Iliopsoas Tenotomy in Symptomatic Patients

Hain

Blankenbaker

Smet

et al. 2013

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Iliopsoas tenotomy is a treatment for snapping hip. Does this surgical procedure change the surrounding muscle and tendon anatomy? Questions/ Purposes: This study seeks to evaluate the changes in the MR appearance of the hip muscles and iliopsoas tendon in patients following arthroscopic iliopsoas tenotomy. Methods: One hundred sixty-nine consecutive adults were evaluated after iliopsoas tenotomy at the lesser trochanter. Each MR exam was evaluated independently by three radiologists for muscle edema, atrophy (grade 0-4), compensatory hypertrophy, signal within the iliopsoas tendon (increased on T1 or T2 sequences), and iliopsoas tendon morphology (distorted or disrupted) above, at, and below the iliopectineal eminence. A finding was considered positive if reported by two or three of the radiologists. Results: Twenty subjects met the inclusion criteria. Muscle edema was present in 15% (3/20) of subjects within the iliacus, psoas, and quadratus femoris. The majority of postoperative symptomatic patients has atrophy of the iliacus and psoas muscles and distortion and disruption of the iliopsoas tendon and should be recognized as a normal imaging appearance following iliopsoas tendon release.

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Section: Introductionmentioning

confidence: 99%

MR Appearance and Clinical Significance of Changes in the Hip Muscles and Iliopsoas Tendon after Arthroscopic Iliopsoas Tenotomy in Symptomatic Patients

Hain

Blankenbaker

Smet

et al. 2013

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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show abstract

“…Treatment of painful internal snapping hip via arthroscopic release is becoming preferred over open techniques because of the benefits of minimal dissection, the ability to address concomitant intraarticular disorders, and a low complication rate [5,8,9,12]. Numerous authors have reported excellent results with arthroscopic iliopsoas tenotomy at 1 to 2 years postoperatively, with no refractory cases of snapping, minimal to no weakness, and a high prevalence of associated intraarticular disorders that can be managed arthroscopically at the same time [2,3,10,11,21].…”

Section: Introductionmentioning

confidence: 99%

Case Report: Bifid Iliopsoas Tendon Causing Refractory Internal Snapping Hip

Shu

Safran

2011

Clinical Orthopaedics &Amp; Related Research

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“…Arthroscopic release of the iliopsoas tendon may be performed in a transcapsular manner in three different anatomic regions: (1) at the level of the labrum, from the central compartment, (2) via the transcapsular approach in the peripheral compartment and (3) within the iliopsoas bursa on its insertion at the lesser trochanter. Ilizaliturri et al reported that all these three methods produced favourable results for the treatment of iliopsoas impingement syndrome and that no clinical difference was found in terms of the results with the three different approaches [48,49]. The labral tear corresponding to the iliopsoas impingement can be resected or repaired and a tenotomy carried out for the tendon simultaneously [28,37].…”

Section: Managementmentioning

confidence: 99%

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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Purpose Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes. Methods By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described. Results The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement. Conclusions The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip.

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Prospective Randomized Study of 2 Different Techniques for Endoscopic Iliopsoas Tendon Release in the Treatment of Internal Snapping Hip Syndrome

Cited by 118 publications

References 11 publications

MR Appearance and Clinical Significance of Changes in the Hip Muscles and Iliopsoas Tendon after Arthroscopic Iliopsoas Tenotomy in Symptomatic Patients

MR Appearance and Clinical Significance of Changes in the Hip Muscles and Iliopsoas Tendon after Arthroscopic Iliopsoas Tenotomy in Symptomatic Patients

Case Report: Bifid Iliopsoas Tendon Causing Refractory Internal Snapping Hip

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

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