Extra-articular impingement of the hip : Treatment of snapping hip by lengthening of the iliotibial band

Operative Orthopädie und Traumatologie
S LerchO Rühmann

Abstract

Snapping of the iliotibial band over the greater trochanter should be eliminated by reducing tension via lengthening, release, and incision of the iliotibial band. Positive clinical examination and painful snapping of the iliotibial band over the greater trochanter, despite extensive conservative treatments, for over 6 months. Weakness of the abductor muscles with positive Trendelenburg sign. Direct approach to the iliotibial tract. The snapping of the tract over the greater trochanter can be provoked and observed in situ via internal rotation and adduction of the hip. Lengthening of the iliotibial band is performed with a tongue-shape flap technique ("Griffelschachtelplastik") directly over the greater trochanter. This leads to simultaneous release and incision over the greater trochanter. Hereafter, no snapping of the tract should be observed upon motion analysis. Pain-adapted mobilization with full weightbearing, no active abduction against resistance, and no adduction over and exceeding the 0‑degree level for 6 weeks. The snapping of the iliotibial band could be eliminated in all cases. Apart from 2 patients with previous surgery who still complain of unimproved pain, improvement of symptoms with consequent subjective satis...Continue Reading

References

Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·C G Brignall, G D Stainsby
May 1, 1984·Zeitschrift für Orthopädie und ihre Grenzgebiete·R BrücklM Fröschl
Feb 24, 2004·The American Journal of Sports Medicine·Matthew T ProvencherMichael P Muldoon
Aug 18, 2004·The American Journal of Sports Medicine·Richard A WhiteWilliam C Allen
May 3, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Victor M IlizaliturriJavier Camacho-Galindo
May 1, 2010·Sports Health·Cara L Lewis
Jun 4, 2017·Journal of Orthopaedic Surgery and Research·Amrit ShresthaBiao Cheng

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Citations

Mar 7, 2021·Clinics in Sports Medicine·Alexander E WeberIoanna K Bolia
May 21, 2021·Journal of Orthopaedic Surgery and Research·Manuel VillanuevaConcepción Noriega

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