Endoscopic release of internal snapping hip: a review of literature
| Autor: | Attilio Basile, Alessio Giai Via, Carlos Musa, Rodrigo Mardones, Johnny Padulo, Mauricio Wainer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty business.industry medicine.medical_treatment Tenotomy 030229 sport sciences medicine.disease Tendon Surgery 03 medical and health sciences Femoral head 0302 clinical medicine medicine.anatomical_structure Snapping hip syndrome medicine Orthopedics and Sports Medicine Original Article Hip arthroscopy Iliopsoas Tendinopathy business Range of motion |
| Popis: | Background Internal snapping hip is a common clinical condition, characterized by an audible or palpable snap of the medial compartment of the hip. In most cases it is asymptomatic, while in a few patients, mostly in athletes who participate in activities requiring extremes of hip range of motion, the snap may become painful (internal snapping hip syndrome - ISHS). Materials and methods This is a review of current literature, focused on the pathogenesis, diagnosis and treatment of ISHS. Conclusion The pathogenesis of ISHS is multifactorial, and it is traditionally believed to be caused by the tendon snapping over the anterior femoral head or the iliopectineal ridge. Most cases of ISHS resolve with conservative treatment, which includes avoidance of aggravating activities, stretching, and NSAIDs. In recalcitrant cases, surgery may be indicated. 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 postop erative pain. It is important to remember that in most cases, a multiple iliopsoas tendon may exist, and that the incomplete release of the iliopsoas tendon can be a reason for refractory pain and poor results. Then, even if of not clinical relevance at long term follow-up, patients should be told about the inevitable loss of flexion strength after iliopsoas tenotomy. Level of evidence II. |
| Databáze: | OpenAIRE |
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