Related Experiment Video
Updated: May 12, 2026
09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Endoscopic iliotibial band release in snapping hip
Raul Zini1, Daniele Munegato, Massimo De Benedetto
1Department of Orthopaedic and Trauma Surgery, Villa Maria Cecilia Hospital, GVM Care & Research, Cotignola, Ravenna, Italy.
Summary
Endoscopic iliotibial band release effectively resolved snapping hip pain in all patients, with 60% becoming pain-free. This safe and reproducible technique allows a return to previous activity levels with high patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Recalcitrant snapping iliotibial band cases often require surgical intervention.
- Open surgical techniques yield variable results.
- Endoscopic approaches offer a minimally invasive alternative.
Purpose of the Study:
- To evaluate the outcomes of a modified endoscopic iliotibial band release for symptomatic external snapping hip.
- To assess pain reduction, functional recovery, and patient satisfaction.
Main Methods:
- A longitudinal retrospective case series of 15 patients (3 male, 12 female) aged 16-37.
- Endoscopic iliotibial band release performed in lateral decubitus position with two portals.
- Transversal release using a radiofrequency hook probe, with a mean follow-up of 33.8 months.
Main Results:
- Complete resolution of the snapping phenomenon in all patients.
- Significant reduction in pain Visual Analog Scale (VAS) scores (5.5 to 0.53, p<0.0001).
- 60% of patients were pain-free post-operatively, with high Harris Hip Scores (97.5) and patient satisfaction (9.3/10).
Conclusions:
- Endoscopic iliotibial band release is a safe, reproducible, and effective treatment for snapping hip.
- The procedure demonstrates excellent outcomes in resolving the snapping phenomenon and improving function.
- High patient satisfaction and return to pre-injury activity levels are achieved with minimal complications.
