Zur operativen Behandlung der schnappenden Hüfte

Brückl, R.; Rosemeyer, B.; Schmidt, J.; Fröschl, M.

doi:10.1055/s-2008-1044632

Cited by 10 publications

(1 citation statement)

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“…It is likely that incomplete removal of the bursa or other pathologies may be responsible for this residual pain. Other authors have reported incomplete pain resolution in their series (3,14,18,32,33) but the causes are poorly understood. Further investigation is needed to clarify the origin of this complaint.…”

Section: Zini Et Almentioning

confidence: 87%

Endoscopic Iliotibial Band Release in Snapping Hip

et al. 2013

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Several open surgical techniques have been used to treat recalcitrant cases of snapping iliotibial band with varying results. Recently, endoscopic techniques have become available. The purpose of this study was to investigate the results of a modified endoscopic iliotibial band release using a longitudinal retrospective case series.  Fifteen patients (three men and 12 women) with symptomatic external snapping hip were treated with an endoscopic release of the iliotibial band. The average age was 25 years (range 16-37 years). The procedure was performed in the lateral decubitus position using two portals; the iliotibial band was transversally released using a radiofrequency hook probe. The mean follow-up period was 33.8 months (range 12-84 months).  The snapping phenomenon was overcome in all the patients. The mean pre-op pain VAS score was 5.5 mm (range 5-7 mm) and the mean post-op pain VAS score was 0.53 mm (range 0-2 mm) with a statistically significant reduction with respect to the preoperative value (p<0.0001); sixty percent of the patients were pain-free. The mean postoperative Harris Hip Score was 97.5 (range 94-100). No revision procedures were indicated and all the patients returned to their previous level of activity. The mean patient satisfaction score was, on average, 9.3 mm (range 8-10 mm) on the VAS scale. No complications occurred.  Endoscopic iliotibial band release is a safe and reproducible technique with excellent results in terms of snapping phenomenon resolution, patient satisfaction, and return to previous level of activity. After strenuous sporting activities 40% of patients complained of very slight pain.

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Section: Zini Et Almentioning

confidence: 87%

Endoscopic Iliotibial Band Release in Snapping Hip

et al. 2013

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La hanche � ressaut

Fery

Sommelet

1988

International Orthopaedics

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The sensation of a 'snapping hip' is due to a tight iliotibial band sliding abnormally over the greater trochanter during certain movements of the hip. Diagnosis is strictly by clinical examination. Radiographs and other investigations are unnecessary, expensive and may be psychologically harmful. We have assessed the results of operation in 35 such hips in 23 patients, reviewed at between 2 and 17 years. A cruciate incision was made in the iliotibial band over the greater trochanter, and the four flaps produced were sutured back on themselves, or to adjacent structures. The results were disappointing, with 30% of patients having a successful result, 30% a recurrence of symptoms and over 60% continuing to experience pain of a varying degree. In the majority of patients operation is not justified, but may be indicated if there is demonstrable abnormality, after trauma or in the presence of severe, intractable pain.

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