Coxa Saltans Externa Treated with Z-Plasty of the Iliotibial Tract in a Military Population

Kim, David H.; Baechler, Martin F.; Berkowitz, Mark J.; Rooney, Richard C.; Judd, Daniel B.

doi:10.1093/milmed/167.2.172

Cited by 17 publications

(12 citation statements)

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“…The prevalence of the snapping hip syndrome in general population is not clear, but most of the patients across different studies were either young females (7,8) or military recruits (7,9). Winston et al (8) reported snapping hip to be as high as 90 percent in ballet dancers, with 80 percent of them had bilateral symptoms.…”

Section: Sharda Et Al mentioning

confidence: 99%

“…However, most studies agree that the symptoms are rarely severe enough to warrant surgical intervention (8)(9)(10)(11), which should only be performed as a last resort. Most patients improve with a trial of conservative treatment typically includes stretching exercises.…”

Section: Sharda Et Al mentioning

confidence: 99%

“…Diagnosis snapping hip syndrome remains mainly clinical, however, new techniques, like dynamic ultrasound have been reported to give good results (9,12,13). Other modalities like plain X-ray and computerized tomography scan are mainly helpful to rule out intraarticular hip pathology, while magnetic resonance imaging has been shown to be helpful in finding the thickened fibrous band (13).…”

Section: Sharda Et Al mentioning

confidence: 99%

“…A variety surgical techniques have been described for the snapping hip syndrome, the most popular being Z-plasty of the iliotibial band (6,9,10,14,15). This has a variable success rate and there are no data whatsoever on whether there is any loss of muscle power due to the Z-plasty but this remains a theoretical possibility.…”

Section: Operative Treatment Of External Snapping Hip Syndrome mentioning

confidence: 99%

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Snapping Hip Syndrome: Result of Partial Release and Anterior Transposition of Iliotibial Band

Sharda

Vaghela

Alshryda

et al. 2011

Journal of Musculoskeletal Pain

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AObjectives: Snapping hip syndrome has been a known entity for long, but has only recently been studied in detail. It however remains poorly understood and infrequently diagnosed due to the paucity of the condition. As a result, the literature remains scarce and scattered about the management, with most series limited to less than 15 patients. We present our experience in operative and conservative management of this condition in a series of 20 patients. We describe an out patient operative approach involving release and anterior transposition of the posterior half of the iliotibial band. Methods: Review of results in 20 patients [25 hips] treated operatively over last 12 years after failed conservative treatment.Results: Dramatic reduction in average visual analog scale and clicking score from 6 and 9 to 0.7 and 0.6, respectively. Significant improvement in quality of life score from 5 to 9 postoperatively [out of a maximum of 10]. All the patients reported good to excellent relief in symptoms postoperatively and walking distance was no longer limited by hip pain or clicking. Five patients had bilateral surgery and the rest replied in affirmative when asked if they would prefer this procedure in future if the other hip became symptomatic. Conclusions: We did not have any major complications after the procedure and had a high satisfaction rate of 95 percent. None of the patients have needed a repeat surgery yet. Most patients reported impressive relief in their snapping symptoms, but pain relief was variable. This approach has yielded satisfactory and reproducible results and we would recommend this approach in snapping hip refractory to conservative treatment.

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Section: Sharda Et Al mentioning

confidence: 99%

Section: Sharda Et Al mentioning

confidence: 99%

Section: Sharda Et Al mentioning

confidence: 99%

Section: Operative Treatment Of External Snapping Hip Syndrome mentioning

confidence: 99%

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Snapping Hip Syndrome: Result of Partial Release and Anterior Transposition of Iliotibial Band

Sharda

Vaghela

Alshryda

et al. 2011

Journal of Musculoskeletal Pain

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“…Nonoperative management, including physical therapy and anti-inflammatory medications, is often adequate to relieve symptoms; however, refractory cases may require surgical intervention [22]. Surgical treatment of these conditions has historically required open procedures to lengthen either the iliopsoas tendon or iliotibial band [10,14,22,30] or to remove the offending intra-articular pathology [22]. Current arthroscopic techniques allow for both trans-articular iliopsoas and extra-articular iliotibial band releases.…”

Section: Arthroscopic Management Of Chondral Lesionsmentioning

confidence: 99%

Hip Arthroscopy Update

Kelly

Buly

2005

HSS Jrnl

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The management of hip injuries in the athlete has evolved significantly in the past few years with the advancement of arthroscopic techniques. The application of minimally invasive surgical techniques has facilitated relatively rapid returns to sporting activity in recreational and elite athletes alike. Recent advancements in both hip arthroscopy and magnetic resonance imaging have elucidated several sources of intraarticular pathology that result in chronic and disabling hip symptoms. Many of these conditions were previously unrecognized and thus, left untreated. Current indications for hip arthroscopy include management of labral tears, osteoplasty for femoroacetabular impingement, thermal capsulorrhaphy and capsular plication for subtle rotational instability and capsular laxity, lateral impact injury and chondral lesions, osteochondritis dissecans, ligamentum teres injuries, internal and external snapping hip, removal of loose bodies, synovial biopsy, subtotal synovectomy, synovial chondromatosis, infection, and certain cases of mild to moderate osteoarthritis with associated mechanical symptoms. In addition, patients with long-standing, unresolved hip joint pain and positive physical findings may benefit from arthroscopic evaluation. Patients with reproducible symptoms and physical findings that reveal limited functioning, and who have failed an adequate trial of conservative treatment will have the greatest likelihood of success after surgical intervention. Strict attention to thorough diagnostic examination, detailed imaging, and adherence to safe and reproducible surgical techniques, as described in this review, are essential for the success of this procedure.

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