Surgical interventions for external snapping hip syndrome
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Surgical interventions for external snapping hip syndrome Filippo Randelli1 · Manuel Giovanni Mazzoleni2 · Alberto Fioruzzi1 · Alessio Giai Via3 · Vittorio Calvisi2 · Olufemi Rolland Ayeni4 Received: 21 July 2020 / Accepted: 22 September 2020 © The Author(s) 2020
Abstract Purpose Snapping hip is a common clinical condition, characterized by an audible or palpable snap of the hip joint. When the snap is perceived at the lateral side of the hip, this condition is known as external snapping hip or lateral coxa saltans, which is usually asymptomatic. Snapping hip syndrome (SHS) refers to a painful snap, which is more common in athletes who require increased hip range of motion. The aim of this article is to review the most common endoscopic techniques for the treatment of ESHS, as well as their results and limitations. Methods This is a review of the current literature of endoscopic surgical procedures and of the results of the treatment of external snapping hip syndrome. Results The pathogenesis of SHS is mechanical. The initial treatment attempt is conservative, and usually provides good results. Patients who do not respond to conservative management are candidate for surgery. The endoscopic release of the iliotibial band or the endoscopic release of the femoral insertion of the gluteus maximum tendon is the most popular technique. Conclusion Endoscopic techniques provide fewer complications compared to open surgery, a lower recurrence rate and good clinical outcomes. More comparative studies with a longer follow-up are required to adequate evaluate the full role of endoscopic techniques in periarticular hip surgery. Level of evidence Level V. Keywords External snapping hip · Coxa saltans · Greater trochanter pain syndrome · Endoscopic surgery · Hip arthroscopy * Filippo Randelli [email protected] Manuel Giovanni Mazzoleni [email protected] Alberto Fioruzzi [email protected] Alessio Giai Via [email protected] Vittorio Calvisi [email protected] Olufemi Rolland Ayeni [email protected] 1
Hip Department (CAD), Gaetano Pini‑CTO Orthopaedic Institute, University of Milan, Milan, Italy
2
Unit of Orthopaedics and Traumatology, Department of Life Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
3
Department of Orthopaedics and Traumatology, San Camillo-Forlanini Hospital, Rome, Italy
4
Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada
Abbreviations SHS Snapping hip syndrome ESHS External snapping hip syndrome ITB Iliotibial band ESWT Extracorporeal shock wave therapy GT Greater trochanter ITP Inferior trochanteric portal STP Iuperior trochanteric portal RF Radiofrequency hook probe AITB Anterior ilio-tibial band PITB Posterior ilio-tibial band GTB Greater trochanteric bursa DALA Distal anterolateral accessory portal GTM Gluteus maximus tendon ROM Range of motion GM Gluteus maximum TFL Tensor fascia latae
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Knee Surgery, Sports Traumatology, Arthroscopy
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