Mak Chong Yin, Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territories, Hong Kong SAR, China.
Arthrosc Tech. 2022 Jul 22;11(7):e1295-e1299. doi: 10.1016/j.eats.2022.03.013. eCollection 2022 Jul.
External snapping hip is caused by snapping of the thickening of the posterior portion of the iliotibial band or the anterior border of the gluteus maximus over the greater trochanter. Surgery is considered for patients who are refractory to conservative treatment. The endoscopic release of the iliotibial band or the endoscopic release of the femoral insertion of the gluteus maximus tendon is the most popular technique. There is a recurrence rate of 7-29% after endoscopic surgery. Although recurrence is often painless, revision surgery may be indicated for symptomatic recurrence. In this Technical Note, the technical details of endoscopic treatment of recurred external snapping hip after endoscopic iliotibial band release. The key to success is adequate release of the iliotibial band, gluteus maximus tendon, and the fibrosis underneath the iliotibial band.
外侧弹响髋是由髂胫束后部增厚或臀大肌前缘在大转子上的弹响引起的。对于保守治疗无效的患者可考虑手术治疗。髂胫束内镜松解术或臀大肌肌腱股骨附着点内镜松解术是最常用的技术。内镜手术后复发率为7%-29%。虽然复发通常无痛，但有症状的复发可能需要翻修手术。在本技术说明中，介绍了内镜下髂胫束松解术后复发性外侧弹响髋的内镜治疗技术细节。成功的关键是充分松解髂胫束、臀大肌肌腱以及髂胫束下方的纤维化组织。
