The Surgical Treatment of External Snapping Hip by Modified Z-plasty (N-plasty) of the Iliotibial Band

2008 ◽  
Vol 20 (4) ◽  
pp. 315 ◽  
Author(s):  
Seung Rim Yi ◽  
Sang Hoon Lee ◽  
Jung Ho No ◽  
Ji Man Park
Keyword(s):  
Surgical Treatment ◽  
Iliotibial Band ◽  
Snapping Hip ◽  
External Snapping Hip

scholarly journals Imagenological findings of external snapping hip syndrome. Case report

Case reports ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 123-131
Author(s):  
Ingrid Carolina Donoso-Donoso ◽  
Enrique Calvo-Páramo ◽  
Roger David Medina-Ramírez
Keyword(s):  
Treatment Options ◽  
Multidisciplinary Treatment ◽  
Iliotibial Band ◽  
Snapping Hip ◽  
Adequate Response ◽  
Painful Sensation ◽  
External Snapping Hip ◽  
The Right ◽  
Snapping Hip Syndrome ◽  
Timely Treatment

Introduction: External snapping hip syndrome is characterized by a painful sensation accom­panied by an audible snapping noise in the hip when moving. Even though orthopedists are widely aware of this condition, imaging findings still need to be recognized by all radiologists in order to provide more information that allows for the best multidisciplinary treatment. Z-plasty of the iliotibial band is the most used treatment with the best results.Case presentation: Female patient with bi­lateral external hip snapping syndrome on the right side, who was treated initially in a con­servative manner without adequate response; hence, she required surgical management with arthroscopy. All treatment options used for this patient were not successful, and symptoms recurred.Discussion: The diagnosis of snapping hip syndrome is mainly clinical. However, the con­tribution of diagnostic imaging is important to characterize the structures involved in this nosological process, in order to develop the therapeutic planning and do the follow-up.Conclusion: Knowledge on ultrasound and magnetic resonance findings related to this pathology allows radiologists to identify this syndrome and contribute to a timely treatment.

External snapping hip: a systematic review of outcomes following surgical intervention: External snapping hip systematic review

2018 ◽  
Vol 28 (5) ◽  
pp. 468-472 ◽  
Author(s):  
Todd P Pierce ◽  
Jennifer Kurowicki ◽  
Kimona Issa ◽  
Antony Festa ◽  
Anthony J Scillia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Revision Surgery ◽  
Nonoperative Management ◽  
Surgical Techniques ◽  
Activity Level ◽  
Future Studies ◽  
Snapping Hip ◽  
Level Of Activity ◽  
External Snapping Hip

Purpose: To evaluate the outcomes of surgical management for external snapping hip in terms of: (1) recurrence; (2) complications; and (3) return to pre-injury activities. Methods: A thorough review of 4 electronic databases- EMBASE, CINAHL Plus, PubMed, and Scopus was performed to find all relevant studies for this review that were published between January 2000 and January 2017 that addressed surgical treatment for external snapping hip. The following reports were excluded: (1) non-English manuscripts; (2) n ⩽ 5; (3) clinical reviews; (4) surgical technique notes; (5) studies only analysing diagnosis; and (6) nonoperative management studies. After cross-referencing, a total of 7 reports were included. Each of these studies was analysed for the incidence of recurrence, revision surgery, complications, and return to pre-injury activity level. Results: There was a recurrence rate of 7% ( n = 8 of 113 hips) with only 1 requiring revision surgery (1%). The cumulative complication rate was 9% ( n = 10 of 113) with all complications being residual weakness. Additionally, we found 98% ( n = 58 of 59) of the patients returned to their pre-injury level of activity. Conclusions: We found operative treatment for external snapping hip to be both safe and efficacious for returning patients to their pre-injury activities. When recurrence does occur, it often is painless and does not require revision surgery. Future studies should be larger and evaluate different surgical techniques to further elucidate the safety and efficacy of surgical treatment for external snapping hip.

scholarly journals External snapping hip: a new technique for ultrasound-assisted sectioning of the iliotibial band

2020 ◽  
Vol 8 (2_suppl) ◽  
pp. 2325967120S0001
Author(s):  
Rémy Coulomb ◽  
Valentin Cascales ◽  
Olivier Mares ◽  
Martin Bertrand ◽  
Philippe Marchand ◽  
...  
Keyword(s):  
Learning Curve ◽  
Endoscopic Technique ◽  
New Technique ◽  
Iliotibial Band ◽  
Control Procedure ◽  
Iatrogenic Injuries ◽  
Snapping Hip ◽  
External Snapping Hip ◽  
Ultrasound Assisted ◽  
A New Technique

Background: External snapping hip (ESH) is the most typical form of coxa saltans and is caused by the iliotibial band (ITB) slipping over the greater trochanter (GT) during a hip movement. In combination with a typical interview and specific clinical tests, dynamic ultrasound imaging appears to be an important tool to confirm the diagnosis and precisely identify the cause of slipping. Surgical treatment is indicated in some cases of symptomatic ESH that are refractory to well-managed conservative treatment, in selected patients. Many procedures have been described, from open surgery to endoscopy. The purpose of this study was to (1) describe and (2) compare a new technique for ultrasound-assisted sectioning of the iliotibial band with a similar endoscopic technique, in terms of sectioning rates, iatrogenic injuries, learning curve and material cost. Methods: An anatomic study was conducted. After a feasibility study to describe the technique, 6 specimens were available, i.e. 12 hips. Both procedures were carried out on each specimen followed by an open control procedure to take measurements. A junior surgeon carried out all the procedures. Results: The average sectioning rate of the ITB was 92% in the ultrasound group, compared to 90% in the endoscopy group. No iatrogenic injuries were noted, including nerve damage. The average duration of the ultrasound procedure was 15 minutes compared to 24.7 minutes for endoscopy, with a decrease by a factor of 2 to 3 between the first and last procedure, regardless of the technique. Incomplete sectioning rates were noted at the beginning of the study and all reached 100% by the 4th procedure, regardless of the technique. The ultrasound procedure was 1.8 times less expensive in terms of equipment than the endoscopic procedure, and up to 3 times less expensive in terms of consumables alone (119.56 euros vs 353.48 euros). Conclusion: This technique of ultrasound-assisted sectioning of the ITB seems to be as effective and safe as a similar endoscopic technique, with an attainable learning curve for surgeons in training, for an average period and with lower material costs.

scholarly journals External Snapping Hip Treated by Effective Designed N-plasty of the Iliotibial Band

Hip & Pelvis ◽  
2017 ◽  
Vol 29 (3) ◽  
pp. 187
Author(s):  
Jong-Seok Park ◽  
Woo-Jong Kim ◽  
Dhong-Won Lee ◽  
Jae-Wan Soh ◽  
Sung-hun Won ◽  
...  
Keyword(s):  
Iliotibial Band ◽  
Snapping Hip ◽  
External Snapping Hip

Surgical Treatment of Snapping Hip by Modified Z-plasty of the Iliotibial Band

2012 ◽  
Vol 30 (2) ◽  
pp. 144 ◽  
Author(s):  
Seung Rim Yi ◽  
Seong Wan Kim ◽  
Joongwon Song
Keyword(s):  
Surgical Treatment ◽  
Iliotibial Band ◽  
Snapping Hip

scholarly journals Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome

2021 ◽  
Author(s):  
Chun-Ting Chu ◽  
Huan Hsu ◽  
Hao-Che Tang ◽  
Alvin Chao-Yu Chen ◽  
Yi-Sheng Chan
Keyword(s):  
Clinical Outcomes ◽  
Arthroscopic Surgery ◽  
Harris Hip Score ◽  
Iliotibial Band ◽  
Snapping Hip ◽  
External Snapping Hip ◽  
Modified Harris Hip Score ◽  
Snapping Hip Syndrome

ABSTRACT This study evaluated the outcomes of arthroscopic surgery for the treatment of external snapping hip at 2- to 10-year follow-ups. Eighteen patients with refractory external snapping hip treated by arthroscopic surgery were enrolled in this prospective study. All patients underwent unsuccessful conservative treatment for more than 3 months before surgery. We made diamond-shaped defects on the iliotibial band and resected peripheral fibrosis tissues for iliotibial band release with an arthroscopic approach. The visual analog scale (VAS), modified Harris hip score and return to previous level of activity were evaluated as functional outcomes. In addition, residual discomfort or the presentation of complications was also investigated. The average follow up period was 7 years. The modified Harris hip score increased from 70.08 preoperatively to 93.14 postoperatively, and the VAS score decreased from 3.67 preoperatively to 1.17 2 weeks after the operation and declined to 0.33 at the last follow-up. Neither recurrence of snaps nor complications were recorded. Two patients complained of a tight sensation with tenderness after exertion. Our clinical outcomes were compatible with those of previous studies, and no long-term complications were noted, even with a relatively longer follow-up period than what was reported in previous studies. Arthroscopic surgery is a safe and effective treatment that can provide promising long-term clinical outcomes for patients with refractory external snapping hip.

Endoscopic Iliotibial Band Release for External Snapping Hip Syndrome

2006 ◽  
Vol 22 (5) ◽  
pp. 505-510 ◽  
Author(s):  
Victor M. Ilizaliturri ◽  
Felipe A. Martinez-Escalante ◽  
Pedro A. Chaidez ◽  
Javier Camacho-Galindo
Keyword(s):  
Iliotibial Band ◽  
Snapping Hip ◽  
External Snapping Hip ◽  
Snapping Hip Syndrome

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

2004 ◽  
Vol 32 (2) ◽  
pp. 470-476 ◽  
Author(s):  
Matthew T. Provencher ◽  
Eric P. Hofmeister ◽  
Michael P. Muldoon
Keyword(s):  
Surgical Treatment ◽  
Iliotibial Band ◽  
Snapping Hip

Síndrome da Anca de Ressalto

2018 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Bernardo Almeida
Keyword(s):  
Surgical Treatment ◽  
Hip Joint ◽  
Scientific Literature ◽  
Therapeutic Targets ◽  
Clinical History ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Snapping Hip ◽  
Predominant Symptom ◽  
Snapping Hip Syndrome

Snapping hip syndrome is a condition in which the predominant symptom is the snapping feelingaround the hip joint caused by a dynamic impingement between muscles or tendons and boneprominences. The etiology of the snapping hip types and consequently the therapeutic targets havebeen subjects of discussion and controversy along the years. A careful clinical history and physicalexamination is frequently enough for this disease diagnosis. Treatment is typically conservative,however when it is not successful surgical treatment is indicated, consisting on the snapping muscleor tendons lengthening. The authors review in this paper the current scientific literature about functionalanatomy, physiopathology, symptoms, diagnosis and treatment of snapping hip.

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