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Surgical interventions for external snapping hip syndrome.

Filippo Randelli1, Manuel Giovanni Mazzoleni2, Alberto Fioruzzi3

  • 1Hip Department (CAD), Gaetano Pini-CTO Orthopaedic Institute, University of Milan, Milan, Italy. filippo.randelli@fastwebnet.it.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|October 16, 2020
PubMed
Summary

Endoscopic surgery effectively treats external snapping hip syndrome (ESHS) when conservative methods fail. This approach offers fewer complications and lower recurrence rates compared to open surgery for hip pain.

Keywords:
Coxa saltansEndoscopic surgeryExternal snapping hipGreater trochanter pain syndromeHip arthroscopy

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • External snapping hip syndrome (ESHS) involves a palpable or audible snap on the lateral hip.
  • While often asymptomatic, ESHS can become painful, particularly in athletes with high hip mobility.

Purpose of the Study:

  • To review common endoscopic surgical techniques for treating ESHS.
  • To evaluate the outcomes and limitations of these endoscopic procedures.

Main Methods:

  • Literature review of current endoscopic surgical procedures for ESHS.
  • Analysis of treatment results for external snapping hip syndrome.

Main Results:

  • Conservative management is the initial treatment for ESHS, often yielding good results.
  • Endoscopic release of the ilio-tibial band or gluteus maximus tendon is a popular surgical option for refractory cases.
  • Surgical candidates are patients unresponsive to conservative management.

Conclusions:

  • Endoscopic techniques for ESHS present fewer complications and lower recurrence rates than open surgery.
  • Good clinical outcomes are achievable with endoscopic hip surgery.
  • Further comparative studies with extended follow-up are needed to fully establish the role of endoscopic techniques.