Clinical outcomes of arthroscopic surgery for external snapping hip

Shrestha, Amrit Kumar; Wu, Peng; Ge, Heng’an; Cheng, Biao

doi:10.1186/s13018-017-0584-1

Cited by 25 publications

(24 citation statements)

References 22 publications

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“…There are a limited number of studies [ 6 , 9 , 13 , 15 , 16 ], which are usually retrospective, with inherent limitations in study design and sample size (Table 1 ). Although with several limitations, these studies showed that endoscopic techniques are safe and reproducible, and the outcomes are encouraging.…”

Section: Resultsmentioning

confidence: 99%

Surgical interventions for external snapping hip syndrome

Randelli

Mazzoleni

Fioruzzi

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Snapping hip is a common clinical condition, characterized by an audible or palpable snap of the hip joint. When the snap is perceived at the lateral side of the hip, this condition is known as external snapping hip or lateral coxa saltans, which is usually asymptomatic. Snapping hip syndrome (SHS) refers to a painful snap, which is more common in athletes who require increased hip range of motion. The aim of this article is to review the most common endoscopic techniques for the treatment of ESHS, as well as their results and limitations. Methods This is a review of the current literature of endoscopic surgical procedures and of the results of the treatment of external snapping hip syndrome. Results The pathogenesis of SHS is mechanical. The initial treatment attempt is conservative, and usually provides good results. Patients who do not respond to conservative management are candidate for surgery. The endoscopic release of the ilio-tibial band or the endoscopic release of the femoral insertion of the gluteus maximum tendon is the most popular technique. Conclusion Endoscopic techniques provide fewer complications compared to open surgery, a lower recurrence rate and good clinical outcomes. More comparative studies with a longer follow-up are required to adequate evaluate the full role of endoscopic techniques in periarticular hip surgery. Level of evidence Level V.

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Section: Resultsmentioning

confidence: 99%

Surgical interventions for external snapping hip syndrome

Randelli

Mazzoleni

Fioruzzi

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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“…No long-term postoperative complications were found and no infections, major swelling, hematomas, or wound dehiscence occurred in all of the four types of cases. All patients achieved good results after arthroscopic surgery [ 30 ]. For the 118 patients in our study, the GD scale was improved from 55.5 ± 10.6 before operation to 90.1 ± 5.2 at the last follow-up ( p < 0.05), and the satisfaction rate was up to 95.8%.…”

Section: Discussionmentioning

confidence: 99%

Clinical results of arthroscopic tight fibrous band release for adult moderate-to-severe gluteal fibrosis using anterior and posterior portals: a retrospective analysis of 118 consecutive cases

Gao

Liu

Yang

et al. 2021

BMC Musculoskelet Disord

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Background To evaluate the clinical outcomes of arthroscopic tight fibrous band release in the treatment of adult moderate-to-severe gluteal fibrosis using anterior and posterior portals during mid-term follow-up. Methods The data of 138 patients (58 males, 80 females) aged between 18 and 42 years (mean, 28.6 years), presenting with bilateral moderate-to-severe gluteal fibrosis (GF) from October 2013 to August 2019, was retrospectively analyzed. All patients underwent arthroscopic tight fibrous band release using anterior and posterior portals with radiofrequency energy. Under arthroscopic guidance through the posterior portal, we debrided the fatty tissue overlying the contracted band of the gluteal muscle and excised the contracted bands using a radiofrequency device introduced through the anterior portal. The pre- and post-operative gluteal muscle contracture disability (GD) scale and the patient satisfaction rate were compared to evaluate the curative effect of the operation. Results The average operation time was 18 min (range, 10–30 min) and the average blood loss was 4 ml (range, 2–10 ml) for unilateral arthroscopic release. Two cases of post-operative minimal hematomas, 2 cases of bruising and 2 cases of local subcutaneous edema were observed as early complications and were cured by conservative treatment. After surgery, all incisions healed in stage I, and no other complications such as wound infection, nerve and blood vessel injury were detected. One hundred eighteen patients were followed up for 6 to 72 months (mean, 36 months). No lateral instability of the hip was observed and all patients returned to normal gait. The degree of adduction of the hip joint in all these 118 patients was significantly improved relative to their pre-operative conditions. One hundred fifteen patients (97.5%) were able to crouch with knees close to each other after surgery. One hundred fourteen patients (96.6%) were able to cross the affected leg completely without any support. The GD scale was improved from 55.5 ± 10.6 before operation to 90.1 ± 5.2 at the last follow-up (p < 0.05). The patient satisfaction rate was 95.8%. Conclusion Arthroscopic tight fibrous band release using anterior and posterior portals is minimally invasive for adult moderate-to-severe gluteal fibrosis, with a high success rate, quick recovery after surgery and reliable medium-term effect.

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“…However, Huang et al [ 3 ] have found that surgical release of GMC can significantly reduce the tilt and lateral shift of the patella by comparing preoperative and postoperative knee CT images. Additionally, multiple studies [ 3 , 5 , 9 , 12 , 35 , 36 ], from the functional and symptomatic perspective, have shown that early surgery effectively reduces patient symptoms and improves the quality of life, with high patient follow-up satisfaction. It is reasonable to assume that early diagnosis and surgery are beneficial to patients, while it also needs to be validated by further studies based on comparison of preoperative and postoperative radiographic parameters of AP pelvic radiograph.…”

Section: Discussionmentioning

confidence: 99%

Multivariate analysis of the relationship between gluteal muscle contracture and coxa valga

Zhang

et al. 2021

BMC Musculoskelet Disord

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Background Gluteal muscle contracture (GMC) is a disease characterized by the limited function of the hip joint, knee pain, and abnormal gait. There is a lack of research on the effect of GMC on the hip joint structure to date. This study aims to analyze the association between GMC and the deformity of the hip and pelvis. Methods Standing anteroposterior pelvic radiographs of 214 patients (152 with gluteal muscle contracture and 62 without gluteal muscle contracture) were retrospectively collected. Neck–shaft angle, lateral center edge angle, Tönnis angle, femoral head coverage index, acetabular depth, Sacro-femoral-pubic angle, and obturator foramen ratio were respectively measured and included in the following statistical analysis. The collected data were analyzed using logistical regression and multiple linear regression to explore the factors influencing coxa valga and SFP angle. Results GMC was identified as a common factor significantly associated with coxa valga and increased SFP angle. There is a difference of risk factors in logistic regression for coxa valga between the left and right sides. Conclusion GMC is a significant risk factor for coxa valga and increased SFP angle. Given that GMC can cause coxa valga and likely alter the pelvis’s position, GMC should be paid attention to and treated early.

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Clinical outcomes of arthroscopic surgery for external snapping hip

Cited by 25 publications

References 22 publications

Surgical interventions for external snapping hip syndrome

Surgical interventions for external snapping hip syndrome

Clinical results of arthroscopic tight fibrous band release for adult moderate-to-severe gluteal fibrosis using anterior and posterior portals: a retrospective analysis of 118 consecutive cases

Multivariate analysis of the relationship between gluteal muscle contracture and coxa valga

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