Endoscopy of the Deep Gluteal Space

Autor: Carlos Suarez-Ahedo, Luis Cerezal Pesquera, Natalia Fernandez Escajadillo, Rubén Arriaga, Moises Fernandez Hernando, Guangxing Chen, Tiao Su, Victor M. IlizaliturriJr, Luis Perez Carro, Jose Antonio Fernandez-Divar, Yan Xu, Tun Hing Lui, Ana Alfonso Fernandez
Rok vydání: 2021
Předmět:
Zdroj: Endoscopy of the Hip and Knee ISBN: 9789811634871
Popis: Deep gluteal syndrome (DGS) is defined as the presence of pain in the subgluteal space caused from non-discogenic and extra-pelvic entrapment of the sciatic nerve in which piriformis syndrome is the most common cause. The whole sciatic nerve trajectory in the deep gluteal space can be addressed by an endoscopic surgical technique, allowing the treatment of the diverse causes of sciatic nerve entrapment. Ischiofemoral impingement is a rare cause of posterior hip pain featured by the contact between the lesser trochanter and the ischium. If conservative treatment fails to relieve symptoms, endoscopic lesser trochanter osteoplasty can be considered. Hamstring injuries affect both athletes and middle-aged individuals and may cause significant impairment. The spectrum of hamstring injuries ranges from muscle strains to avulsion injuries. Non-operative management has been proposed for muscle strains and low-grade partial tears of the hamstring origin, whereas surgery is recommended in the setting of more refractory cases of proximal avulsions, with open surgical repair with suture anchors being the gold standard. With the advent of hip arthroscopy and refinement of endoscopic techniques, endoscopic hamstring repair has come to be considered as an effective and safe alternative to open repair. In this chapter, the endoscopic techniques are outlined.
Databáze: OpenAIRE