Fowler Kennedy Sport Medicine Clinic, Department of Surgery, Western University, London, ON, Canada.
Western Libraries, Western University, London, ON, Canada ; and.
Clin J Sport Med. 2021 Nov 1;31(6):522-529. doi: 10.1097/JSM.0000000000000784.
To perform a systematic review of the findings of iliopsoas release as it relates to resolution of snapping, improvement of groin pain, and associated complications.
Systematic review.
Four electronic databases PubMed/MEDLINE, EMBASE, CINAHL, and Web of Science were searched, identifying all literature pertaining to surgical treatment of a snapping hip/coxa saltans, iliopsoas impingement, or iliopsoas tendinitis. A total of 818 studies were identified. Two reviewers independently screened the titles, abstracts, and full-text articles for eligibility.
All studies published in English that reported on iliopsoas release for snapping hip/coxa saltans, iliopsoas impingement, or iliopsoas tendinitis reporting outcomes or associated complications were eligible.
A total of 48 articles were included in this review. Three surgical indications were identified for iliopsoas release, internal snapping hip, labral tear secondary to iliopsoas impingement, and iliopsoas tendinopathy after total hip arthroplasty. Arthroscopic techniques seemed to be superior to open techniques with regards to reoccurrence of snapping (5.1% vs 21.7%) and groin pain relief (89.1% vs 85.6%) with fewer complications (4.2% vs 21.1%) overall.
Both open and arthroscopic iliopsoas releases have been shown to be successful treatment options regardless of the surgical indications identified in this review. Arthroscopic release demonstrated a decreased failure rate, fewer complications, and improved outcomes when compared with open procedures.
对髂腰肌松解术治疗弹响髋/髋关节弹响、髂腰肌撞击综合征和髂腰肌肌腱炎的研究结果进行系统回顾，以评估其对弹响声缓解、腹股沟疼痛改善及相关并发症的影响。
系统回顾。
检索了四个电子数据库（PubMed/MEDLINE、EMBASE、CINAHL 和 Web of Science），以获取所有关于手术治疗弹响髋/髋关节弹响、髂腰肌撞击综合征或髂腰肌肌腱炎的文献。共识别出 818 项研究。两名评审员独立筛选标题、摘要和全文文章，以确定其是否符合入选标准。
所有发表于英文文献中、报告了髂腰肌松解术治疗弹响髋/髋关节弹响、髂腰肌撞击综合征或髂腰肌肌腱炎的疗效或相关并发症的研究均符合入选标准。
本综述共纳入了 48 篇文章。确定了三种髂腰肌松解术的手术适应证，即内部弹响髋、由髂腰肌撞击引起的盂唇撕裂和全髋关节置换术后的髂腰肌肌腱病。在复发的弹响声（5.1% vs. 21.7%）和腹股沟疼痛缓解（89.1% vs. 85.6%）方面，关节镜技术似乎优于开放技术，且总体并发症发生率更低（4.2% vs. 21.1%）。
无论本综述中确定的手术适应证如何，开放和关节镜下的髂腰肌松解术都是有效的治疗选择。与开放手术相比，关节镜松解术的失败率更低、并发症更少、疗效更好。
