Internal Snapping Hip Syndrome: Incidence of Multiple-Tendon Existence and Outcome After Endoscopic Transcapsular Release

Ilizaliturri, Víctor M.; Suárez-Ahedo, Carlos; Acuña, Marco

doi:10.1016/j.arthro.2015.04.083

Cited by 24 publications

(35 citation statements)

References 14 publications

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“…A few things are important to keep in mind while performing iliopsoas release. Re-cent studies showed that a multiple iliopsoas tendon may exists in a large number of patients 6,29 . Philippon et al 9 in a cadaveric study found that the iliopsoas tendon was composed by two tendons in 64.2% of cadavers, by three tendons in 7.5% of cases and a single tendon in only in 28.3% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Intra-articular pathologies may be associated with iliopsoas tendinopathy up to 50% of cases, while iliopsoas tendon may produce a labral injury itself 5 . Tenotomy has been described as an effective treatment in patients with iliopsoas tendinopathy or internal snapping hip syndrome which do not respond to conservative treatments 6 . Both open and arthroscopic surgical techniques are reported for iliopsoas tendon release with good results.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

Mardones

VIa

Tomic

et al. 2019

Muscle Ligaments and Tendons J

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Background:The iliopsoas tendon is a recognized cause of extra-articular hip pain, and tenotomy has been described as an effective treatment in patients who do not respond to conservative treatments. Endoscopic release showed higher success rate, lower recurrence, fewer complications compared to open surgery. The aim of the study is to report the results at a mean of 4 years follow-up of a series of patients affected by femoroacetabular impingement (FAI) and an associated iliopsoas tendinopathy, treated with hip arthroscopy and transcapsular tendon release. Methods: Fifteen patients were retrospectively reviewed. Assessment of radiographic signs of FAI was performed, the alpha angle, the femoral headneck offset and the lateral center edge angle (LCEA) were collected. Osteoarthritis was assessed from the AP pelvic and graded according to the Tönnis classification. Modified Harris Hip Score (mHHS), VAIL score and VAS score were administered to all patients before surgery, at follow-up at 1 year (T1) and final follow-up (T2). Results: We found a statistical significant improvement in functional scores (mHHS and VAIL score) from the baseline to T2. According to VAS score, a statistical significant improvement was also found from T0 to T2, from a median of 5.5 (range 3-7) to 0 (range 0-5) (P<0.001). Two patients referred a recurrence of pain one year after surgery who were treated conservatively. No other complications have been reported. Conclusion: Iliopsoas tendinopathy can be associated to FAI in some patients, and failure in diagnosing and treating may be the reason of poor results and a revision surgery. Arthroscopic iliopsoas tendon release seems to produce good clinical outcome, reducing pain and the rate of a revision surgeries. Level of evidence: IV case series.KEY WORDS: hip arthroscopy, femoroacetabular impingement, iliopsoas tendon, tendinopathy, arthroscopic tendon release.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

Mardones

VIa

Tomic

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

“…In fact, there was no significant difference in the modified HHS of the patients with no atrophy, mild to moderate atrophy, and severe iliacus or psoas muscle atrophy at two years follow-up, and the majority of the patient's with grade 4 atrophy showed good clinical outcomes 27 . According to this this study, other Authors reported a significant clinical @ C I C E d i z i o n i I n t e r n a z i o n a l i loss of flexion strength after surgery in all patients but they improved in a period lasting from 6 to 10 weeks 26,29 .…”

Section: @ C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 94%

“…More recently, an incidence of multiple iliopsoas tendons of 18% during endoscopic transcapsular release have been reported 26 . These studies suggest that, once thought to be a rare anatomic variant, the finding of 2 or multiple iliopsoas tendons is very common, and that it is important to be aware of the possibility that more than 1 tendon may exist.…”

Section: @ C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 99%

Endoscopic release of internal snapping hip: a review of literature

Via

Basile

Wainer

et al. 2016

MLTJ

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“…A few things are important to keep in mind while performing iliopsoas release. Recent studies showed that a multiple iliopsoas tendon may exists in a large number of patients 6,29 . Philippon et al 9 in a cadaveric study found that the iliopsoas tendon was composed by two tendons in 64.2% of cadavers, by three tendons in 7.5% of cases and a single tendon in only in 28.3% of cases.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

Mardones

Via

Tomic

et al. 2016

MLTJ

View full text Add to dashboard Cite

SummaryBackground: The iliopsoas tendon is a recognized cause of extra-articular hip pain, and tenotomy has been described as an effective treatment in patients who do not respond to conservative treatments. Endoscopic release showed higher success rate, lower recurrence, fewer complications compared to open surgery. The aim of the study is to report the results at a mean of 4 years follow-up of a series of patients affected by femoroacetabular impingement (FAI) and an associated iliopsoas tendinopathy, treated with hip arthroscopy and transcapsular tendon release. Methods: Fifteen patients were retrospectively reviewed. Assessment of radiographic signs of FAI was performed, the alpha angle, the femoral headneck offset and the lateral center edge angle (LCEA) were collected. Osteoarthritis was assessed from the AP pelvic and graded according to the Tönnis classification. Modified Harris Hip Score (mHHS), VAIL score and VAS score were administered to all patients before surgery, at follow-up at 1 year (T1) and final follow-up (T2). Results: We found a statistical significant improvement in functional scores (mHHS and VAIL score) from the baseline to T2. According to VAS score, a statistical significant improvement was also found from T0 to T2, from a median of 5.5 (range 3-7) to 0 (range 0-5) (P<0.001). Two patients referred a recurrence of pain one year after surgery who were treated conservatively. No other complications have been reported. Conclusion: Iliopsoas tendinopathy can be associated to FAI in some patients, and failure in diagnosing and treating may be the reason of poor results and a revision surgery. Arthroscopic iliopsoas tendon release seems to produce good clinical outcome, reducing pain and the rate of a revision surgeries. Level of evidence: IV case series. KEY WORDS: hip arthroscopy, femoroacetabular impingement, iliopsoas tendon, tendinopathy, arthroscopic tendon release.

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Internal Snapping Hip Syndrome: Incidence of Multiple-Tendon Existence and Outcome After Endoscopic Transcapsular Release

Cited by 24 publications

References 14 publications

Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

Endoscopic release of internal snapping hip: a review of literature

Arthroscopic release of iliopsoas tendon in patients with femoro-acetabular impingement: clinical results at mid-term follow-up

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