Document Detail

Clinical results of multiple fibrous band release for the external snapping hip.
MedLine Citation:
PMID:  19662474     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: External snapping hip is caused by snapping of the thickened iliotibial band or the gluteus maximus over the greater trochanter. We retrospectively reviewed results of the release of multiple fibrous bands of the iliotibial band or gluteus maximus for treatment of external snapping hip in 44 patients. METHODS: We wanted to evaluate the functional results of this technique in terms of resolution of symptoms, patient satisfaction, and complications. A snapping hip questionnaire was designed for the evaluation, and the results were evaluated at an average 62 months after surgery. RESULTS: All the patients had resolution of their symptoms after surgery and were satisfied with the treatment. Recurrence of snapping was reported in five patients, but they did not find it severe enough to require a second surgery. Ten patients reported some limp or weakness, and four patients had seroma formation, requiring reinsertion of a drainage tube. CONCLUSIONS: We recommend release of multiple fibrous bands of the iliotibial band and gluteus maximus muscle for treatment of external snapping hip, as it has a low rate of recurrence and a high rate of patient satisfaction.
Taek Rim Yoon; Kyung Soon Park; Sanket R Diwanji; Chang Young Seo; Jong Keun Seon
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2009-08-07
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  14     ISSN:  1436-2023     ISO Abbreviation:  J Orthop Sci     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-08-07     Completed Date:  2009-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  405-9     Citation Subset:  IM    
Department of Orthopaedics, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam, Republic of Korea.
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MeSH Terms
Fascia Lata / surgery
Follow-Up Studies
Hip Joint / physiopathology*,  surgery
Joint Instability / diagnosis,  surgery*
Magnetic Resonance Imaging
Middle Aged
Orthopedic Procedures / methods*
Patient Satisfaction / statistics & numerical data
Range of Motion, Articular / physiology*
Recovery of Function
Retrospective Studies
Risk Assessment
Severity of Illness Index
Tendons / physiopathology,  surgery*
Young Adult

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