Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original articleEndoscopic Iliotibial Band Release for External Snapping Hip Syndrome
Section snippets
Methods
Between September 2001 and December 2003, patients in a consecutive series with the diagnosis of external snapping hip who did not respond to conservative treatment, including physical therapy and local corticosteroid injection, were treated by endoscopic release of the ITB. The preoperative evaluation included the identification of a snap by palpation (sometimes audible) of the trochanteric region with flexion of the hip from the extended position and vice versa, accompanied with pain. The
Results
We treated 10 patients, 9 female (1 bilateral) and 1 male with an average age of 26 years (range, 21 to 35 years). Four patients participated in sports activity (1 tri-athlete, 2 long distance runners, 1 soccer player). The mean duration of the symptoms before endoscopic ITB release was 31 months (range, 10 to 38 months). They had all been treated with physical therapy with no response and had received an average of 3 corticosteroid injections (range, 1 to 6) without improvement. No pathology
Discussion
The incidence of external snapping hip is unknown.4 A few studies report on open techniques for the treatment of this condition. In our series, we used an endoscopic technique. Our results compare well with those reported of open release or open Z-plasty (Table 1).
The weakness of this study is that we present a small number of patients with short follow-up (only 7 patients completed 2 or more years). Longer follow-up of a larger series of patients would better demonstrate the results of
Conclusions
In our hands, the endoscopic release of the ITB for the treatment of external snapping is an effective and reproducible procedure. We have presented 11 consecutive cases treated with an endoscopic technique with 100% resolution of pain and 91% resolution of snapping symptoms.
References (7)
- et al.
Coxa saltansThe snapping hip revisited
J Am Acad Orthop Surg
(1995) - et al.
The surgical treatment of external coxa saltans (the snapping hip) by Z-plasty of the iliotibial band
Am J Sports Med
(2004) - et al.
Surgical correction of the snapping iliopsoas tendon
Am J Sports Med
(1990)
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