Endoscopy of the Medial and Anterior Hip
| Autor: | Mingjin Zhong, Alberto Fioruzzi, Gennaro Pipino, Lu XueMin, Filippo Randelli, Nicola Maffulli, Tun Hing Lui, Feng Chao, Alessio Giai Via, Jin Zhang, Manuel Giovanni Mazzoleni |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Groin medicine.diagnostic_test business.industry Arthroscopy Calcific tendinitis medicine.disease Surgery Femoral head medicine.anatomical_structure Anterior inferior iliac spine Medicine Tendinopathy Iliopsoas business Femoroacetabular impingement |
| Zdroj: | Endoscopy of the Hip and Knee ISBN: 9789811634871 |
| DOI: | 10.1007/978-981-16-3488-8_6 |
| Popis: | Internal snapping hip is a common clinical condition and is usually asymptomatic, but in few cases, mostly in athletes and professionals who participate in activities requiring extreme ranges of hip motion, the snap may become painful (internal snapping hip syndrome—ISHS). Traditionally, the ISHS pathogenesis was described as a snapping of the tendon over the anterior femoral head or the iliopectineal ridge, but currently the pathological mechanism is considered multifactorial. Most patients respond well to conservative treatment, but in recalcitrant cases, surgery may be indicated. Arthroscopic iliopsoas fractional lengthening can be performed in the central compartment, peripheral compartment or at the tendon’s insertion on lesser trochanter. Better results have been reported with endoscopic iliopsoas tendon release compared with open techniques, which may be related to the treatment of concomitant intra-articular pathologies. Furthermore, endoscopic treatment showed fewer complications, decreased failure rate, and postoperative pain. Sub-spine impingement is an extra-capsular cause of femoroacetabular impingement (FAI) resulting in diminished hip range of motion and groin pain during hip flexion-based activities. Arthroscopic resection of the deformed AIIS, decompression of the sub-spine region, and treatment of concomitant FAI usually result in good clinical outcome. Calcific tendinitis of the rectus femoris (CTRF) is another underreported condition because it is usually self-limiting. Endoscopic treatment of CTRF is indicated for symptomatic cases recalcitrant to conservative treatment. Recently, arthroscopically assisted reduction of developmental dislocation of the hip (DDH) via medial approach has been developed with advantage of minimally invasive surgery. In this chapter, the endoscopic techniques are outlined. |
| Databáze: | OpenAIRE |
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