The snapping hip. Treatment by Z-plasty

Brignall, CG; Stainsby, G.D.

doi:10.1302/0301-620x.73b2.2005149

Cited by 107 publications

(72 citation statements)

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“…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: 64%

“…Many surgical techniques have been described and most of them aim at decreasing the tension of the ITB complex with Z-plasty or other forms of resection [2,9,13,14]. The main reason for the increase in tension of the ITB complex is still unknown, as are the biomechanical consequences of its resection.…”

Section: Discussionmentioning

confidence: 99%

“…All patients had complete resolution of the pain and snapping. Brignall and Stainsby [2] performed an ITB Z-plasty in six patients, and again, one patient required a second intervention. A second Z-plasty was performed, and all patients had complete resolution of the symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors [2,9,13,14] have described open procedures to treat patients whose symptoms are not relieved by nonoperative measures. These open operative treatments include resection of a posterior portion of the ITB [7], elliptical resection [14] or step-cut procedure [13] of the ITB over the GT, and Z-plasty of the ITB [2,9].…”

Section: Introductionmentioning

confidence: 99%

“…These open operative treatments include resection of a posterior portion of the ITB [7], elliptical resection [14] or step-cut procedure [13] of the ITB over the GT, and Z-plasty of the ITB [2,9]. The procedures attempt to decrease the tension of the ITB complex as it passes over the GT [10].…”

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: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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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The snapping hip. Treatment by Z-plasty

Abstract: We describe a new method of Z-plasty for the snapping hip caused by a tight band in the iliotibial tract. Eight hips in six patients were treated by this method and at follow-up all had a successful result, with relief of snapping.

Cited by 107 publications

References 0 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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