Snapping hip

Hip arthroscopy for extra-articular hip disease

“…The Ober test may be positive with tightness of the ITB. Applying pressure over the greater trochanter as the patient flexes at the hip may prevent the snap [31,35].…”

“…Imaging consists of x-rays of the pelvis to exclude other pathologies causing hip pain [32,33,35]. Ultrasound and MRI may complement the history and physical exam but are probably unnecessary, except for cases in which there is concern for additional pathologies [35].…”

“…Ultrasound and MRI may complement the history and physical exam but are probably unnecessary, except for cases in which there is concern for additional pathologies [35].…”

“…Rest, avoiding activities that lead to pain, oral antiinflammatory medications, and physical therapy are important. Physical therapy and steroid injections into the bursa may be tried if pain persists with routine daily activities [31,32,35]. In patients with recalcitrant symptoms, open surgical release of the ITB can be accomplished by resection [36,37], step-cuts [38], or Z-plasty [39,40].…”

Operative Arthroskopie des Hüftgelenks

“…Offene Verfahren zeigten Komplikationsraten bis zu 40% wie Rezidive, eine bleibende Schwäche der Hüftbeugung und Parästhesien im ventralen Oberschenkel [1,23,34,45]. Byrd [8,9] …”