The Surgical Treatment of External Coxa Saltans (the Snapping Hip) by Z-Plasty of the Iliotibial Band

Provencher, Matthew T.; Hofmeister, Eric P.; Muldoon, Michael

doi:10.1177/0363546503261713

Cited by 107 publications

(89 citation statements)

References 26 publications

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“…Many surgical techniques have been described and most of them aim at decreasing the tension of the ITB complex with Z-plasty or other forms of resection [2,9,13,14]. The main reason for the increase in tension of the ITB complex is still unknown, as are the biomechanical consequences of its resection.…”

Section: Discussionmentioning

confidence: 99%

“…A second Z-plasty was performed, and all patients had complete resolution of the symptoms. Provencher et al [9] also performed ITB Z-plasty in eight patients. All patients had complete resolution of the snapping, and all but one returned to full activities.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors [2,9,13,14] have described open procedures to treat patients whose symptoms are not relieved by nonoperative measures. These open operative treatments include resection of a posterior portion of the ITB [7], elliptical resection [14] or step-cut procedure [13] of the ITB over the GT, and Z-plasty of the ITB [2,9].…”

Section: Introductionmentioning

confidence: 99%

“…These open operative treatments include resection of a posterior portion of the ITB [7], elliptical resection [14] or step-cut procedure [13] of the ITB over the GT, and Z-plasty of the ITB [2,9]. The procedures attempt to decrease the tension of the ITB complex as it passes over the GT [10].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Polesello

Queiroz

Domb

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background While many authors have recommended surgery for patients with persistent symptoms of external snapping hip, it is unclear which one best relieves symptoms. Concerns with iliotibial band (ITB)-modifying techniques include altering the shape of the lateral thigh and overload of the contralateral abduction mechanism. We describe a new endoscopic technique that decreases the tension of the ITB complex by releasing the femoral insertion of the gluteus maximus tendon (GMT). Description of Technique Via an endoscopic approach, we tenotomize the GMT near its insertion at the linea aspera through two trochanteric portals, developing a space beneath the ITB. Methods We reviewed eight patients (nine hips) with external snapping hip nonresponsive to nonoperative treatment treated by endoscopic GMT release. There were seven women (one bilateral) and one man, with a mean ± SD age of 35 ± 13.1 years (range, 18-55 years). Mean symptom duration was 36 ± 20.3 months (range, 16-84 months). Minimum followup was 22 months (mean, 32 ± 9.3 months; range, 22-45 months). Results Snapping and pain resolved in seven patients after the initial procedure. We performed one revision procedure with complete relief of symptoms. All eight patients returned to their previous level of activity. Average modified Harris hip score was 61 points (range, 45-70 points) preoperatively and 78 points (range, 62-93 points) at latest followup. We observed no neurovascular complications. Conclusions Our small series suggests endoscopic release of the GMT resolves pain and snapping symptoms in most patients. Level of Evidence Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Polesello

Queiroz

Domb

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Intra-articular causes include loose bodies, synovial osteochondromatosis and acetabular labral tears (5,6,15) . If further clinical investigation of snapping hip is indicated, plain radiography can be initially utilized for allowing identification of bone exostosis or articular and bone tumors, besides loose intra-articular bodies.…”

Section: Introductionmentioning

confidence: 99%

Diagnóstico por imagem nas síndromes do estalido ou do ressalto

et al. 2009

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A síndrome do estalido ou do ressalto ocorre durante a movimentação de várias articulações e pode ser acompanhada de dor local e de crepitação ou de estalido audível. Nem sempre o estalido audível ou a crepitação articular à palpação têm significado patológico ou implicam necessidade de tratamento. Esta síndrome tem causas variadas intra-articulares e extra-articulares e os achados clínicos podem ser pouco precisos, com dificuldade para definir o melhor método de imagem que confirme o diagnóstico. O objetivo deste trabalho é discutir as causas mais comuns da síndrome do estalido em cada articulação e enfatizar a indicação e a limitação de cada um dos diferentes métodos diagnósticos em situações específicas da prática clínica.

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Snapping Hip

Ooij¹,

Schafroth²

2011

Evidence‐Based Orthopedics

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The Surgical Treatment of External Coxa Saltans (the Snapping Hip) by Z-Plasty of the Iliotibial Band

Cited by 107 publications

References 26 publications

Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Surgical Technique: Endoscopic Gluteus Maximus Tendon Release for External Snapping Hip Syndrome

Diagnóstico por imagem nas síndromes do estalido ou do ressalto

Snapping Hip

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