<scp>Ultrasound‐Guided</scp> Percutaneous Iliotibial Band Release for External Coxa Saltans

Coulomb, Rémy; Cascales, Valentin; Marès, Olivier; Bertrand, Martin; George, David A.; Kouyoumdjïan, Pascal

doi:10.1002/jum.15595

Cited by 3 publications

(7 citation statements)

References 24 publications

(25 reference statements)

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“…Though arthroscopic techniques have advantages of minimally invasive ness and less soft tissue dissection, open Z plasty is still routinely used due to clear identification of landmarks and easy learning curve compared to arthroscopic technique. [7][8][9] Interpretations obtained are similar to those shown in previous studies. 6 Our patient showed good symptomatic relief following surgery with complete resolution of previous symptoms.…”

Section: Discussionsupporting

confidence: 90%

An interesting case of external type of coxa saltans treated by z plasty of iliotibial band-a case report

Baskaran²

2022

Int J Res Orthop

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<p>Coxa saltans commonly known as snapping hip is a nagging illness which can physically and mentally hinder patients life.<strong> </strong>A snapping hip (coxa saltans) secondary to a tight iliotibial band rarely needs surgical release since most cases respond well to conservative management. The purpose of this study is to present the surgical results of refractory external-type snapping hip by Z-plasty of the iliotibial band. We present a case report of 47-year-old lady who was diagnosed to have snapping hip of external type who was treated with Brignall and stainsby technique of Z plasty. The surgical results of Z-plasty are excellent and predictable. Careful examination is necessary to rule out other causes. Z-plasty is recommended as an effective surgical treatment of the refractory snapping hip.</p>

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Section: Discussionsupporting

confidence: 90%

An interesting case of external type of coxa saltans treated by z plasty of iliotibial band-a case report

Baskaran²

2022

Int J Res Orthop

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“…The US technique used was the same as described in two recent publications [4, 20]. The specimen was in the lateral position, lying on the non‐operated side with pubic and sacral supports.…”

Section: Methodsmentioning

confidence: 99%

A percutaneous ultrasound-guided iliotibial band release technique reduces surgical time and costs compared to an endoscopic technique

Coulomb

Cascales

Marès

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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Purpose External snapping hip is caused by the iliotibial band snapping from the greater trochanter during hip movement. The aim of this study was to compare a technique of ultrasound-guided iliotibial band release versus a similar endoscopic technique. Methods An anatomical study was performed on 10 cadavers i.e. 20 hips. The same operator performed ultrasound-guided and endoscopic iliotibial band release on either side of each specimen. An independent operator performed an open control to verify the outcome measures. The primary outcome was iliotibial cutting percentage, deined as the ratio of the transversal cut distance and the width of the iliotibial at the most prominent portion of the great trochanter. Secondary outcomes included nerve injuries. The surgical time was assessed and disposable medical supplies costs were estimated. ResultsThe average cutting percentage was 95% ± 8 by ultrasound, compared with 91% ± 11 by endoscopy (n.s.). No iatrogenic lesions were found, particularly nerve damage. The average duration of the ultrasound procedure was 12.3 minutes ± 6 compared to 21 minutes ± 10.7 for endoscopy (p=0.04), with a 3-fold decrease between the irst and last procedure, regardless of the technique. The ultrasound procedure was 3 times less expensive in terms of disposable medical supplies (120.5€ versus 353.5€). Conclusion This technique of ultrasound-guided iliotibial band release appears to be as efective and safe as a similar endoscopic technique. The surgical time is reasonable for a surgeon trained in ultrasound, with lower disposable supplies costs. A comparative clinical study is further needed to assess the actual beneits of each technique.

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“…The diagnosis of recurred external snapping hip is predominantly clinical, but it can be confirmed by ultrasound; high-resolution imaging enables a precise assessment of the anatomic cause of the recurrent snapping during a dynamic examination. 7 Magnetic resonance imaging may be useful for investigation of the causes of recurrence and excludes other causes of hip pain.…”

Section: Surgical Technique Preoperative Planning and Patient Positio...mentioning

confidence: 99%

“…1 However, the gluteus maximus and tensor fascia lata muscles may be relaxed by the anesthesia and snapping hip may not be reproducible intraoperatively. 7…”

Section: Portal Placementmentioning

confidence: 99%

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Endoscopic Treatment of Recurred External Snapping Hip After Endoscopic Iliotibial Band Release

Mak¹,

Lui²

2022

Arthroscopy Techniques

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Ultrasound‐Guided Percutaneous Iliotibial Band Release for External Coxa Saltans

Cited by 3 publications

References 24 publications

An interesting case of external type of coxa saltans treated by z plasty of iliotibial band-a case report

An interesting case of external type of coxa saltans treated by z plasty of iliotibial band-a case report

A percutaneous ultrasound-guided iliotibial band release technique reduces surgical time and costs compared to an endoscopic technique

Endoscopic Treatment of Recurred External Snapping Hip After Endoscopic Iliotibial Band Release

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