Mange Tyler R, Dylan Pasko Kory B, Wang Dean
Department of Orthopaedic Surgery, University of California at Irvine, Orange, California, U.S.A.
Arthrosc Tech. 2024 Nov 22;14(4):103328. doi: 10.1016/j.eats.2024.103328. eCollection 2025 Apr.
External coxa saltans, or "snapping hip," is present in about 5% of the population and typically stems from a tight iliotibial band (ITB) passing over the greater trochanter. For patients who have been unresponsive to nonoperative treatments, endoscopic ITB release can be effective in relieving symptoms. Various techniques have been described, including those involving lateral decubitus positioning, alternative portal placement, and outside-in release of the ITB. In this technique, we describe an endoscopic partial ITB release for external coxa saltans using supine positioning, standard hip arthroscopy portals, and inside-out release from the peritrochanteric space, which allows treatment of concomitant intra-articular pathology and direct visualization of the posterior undersurface of the ITB for a more precise release of the involved pathologic tissue.
外侧弹响髋，即“髋关节弹响”，约5%的人群中存在，通常源于紧绷的髂胫束（ITB）越过股骨大转子。对于非手术治疗无反应的患者，内镜下髂胫束松解术可有效缓解症状。已描述了多种技术，包括那些涉及侧卧位、替代入路放置以及髂胫束由外向内松解的技术。在本技术中，我们描述一种用于外侧弹响髋的内镜下部分髂胫束松解术，采用仰卧位、标准髋关节镜入路以及从转子周围间隙由内向外松解，这允许治疗合并的关节内病变，并直接观察髂胫束后下表面，以便更精确地松解受累的病理组织。
