Kunac Nino, Trsek Denis, Medancić Nenad, Starcević Damir, Haspl Miroslav
Akromion Hospital for Orthopedic Surgery, Krapinske Toplice, Croatia.
Acta Clin Croat. 2012 Dec;51(4):661-6.
Snapping hip or coxa saltans is a condition characterized by an audible and/or palpable snapping during hip movement and can be associated with pain around the hip. There are various causes of this condition and can be divided into two types: extra-articular and intra-articular. The most common type is the external extra-articular, where the snapping is due to thickened posterior part of the iliotibial band or anterior part of the gluteus maximus muscle sliding over the greater trochanter during hip movement. Two patients with external snapping hip are presented, who were treated with our original endoscopic iliotibial band release and greater trochanteric bursectomy. There were no surgical complications and the patients did not experience snapping or pain in the hip during 24-month follow-up period. Results of various open techniques and one endoscopic technique in the treatment of external snapping hip are also reported.
弹响髋或跳跃征髋是一种在髋关节活动时出现可闻及和/或可触及的弹响为特征的病症，且可能伴有髋关节周围疼痛。该病症有多种病因，可分为两类：关节外和关节内。最常见的类型是关节外弹响，其弹响是由于在髋关节活动时增厚的髂胫束后部或臀大肌前部在大转子上滑动所致。本文介绍了两名接受我们独创的内镜下髂胫束松解和大转子滑囊切除术治疗的关节外弹响髋患者。无手术并发症，且在24个月的随访期内患者髋关节未再出现弹响或疼痛。还报道了各种开放技术及一种内镜技术治疗关节外弹响髋的结果。
