Skip to main content

Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 3 Literature reports on treatments for external snapping of the hip, trochanteric bursa inflammation and gluteus medius diseases

From: Peri-articular diseases of the hip: emerging frontiers in arthroscopic and endoscopic treatments

First author

References

Technique

Number of hips

Follow-up (months)

Results and complications

Provencher

[27]

Open Z plasty

9

23

All patients had complete resolution of the snapping hip, 1 returned to full unrestricted activities but no residual snapping

White

[28]

Open vertical incision and multiple transverse cuts

16

32.5

14 asymptomatic patients after release (2 hips needed a second release)

Faraj

[29]

Open Z plasty

11

12

Good results, 3 had problems due to scar sensitivity

Fery

[30]

Open cross cut and inverted flap suture

35

84

30 % successful results, 30 % had a recurrence of symptoms and over 60 % continued to experience pain

Govaert

[31]

Open longitudinal release of the iliotibial band combined with excision of the trochanteric bursa

12

23.5

The mean difference between the pre- and postoperative Merle d’Aubigné and Postel scores was 11.7 points; 6 excellent results, 5 good and 1 poor. One screw removal for pain, one surgically drained hematoma

Ilizaliturri

[32]

Endoscopic diamond shape defect

11

25

1 residual nonpainful snapping, 10 excellent results

Wiese

[33]

Endoscopic bursectomies and in 4 coxa saltans suture of the iliotibial tract to the greater trochanter

37

25

32.5 points was the average Japanese orthopedic association score improvement; VAS improved from 7.2 to 3.8 points. Four patients developed hematoma

Baker

[34]

Endoscopic bursectomy

30

26.1

VAS improved from 7.2 to 3.1, mean Harris hip scores improved from 51 to 77 points, one seroma and one subsequent open bursectomy

Fox

[35]

Endoscopic bursectomy

27

60 (only for 22 patients)

24 good or excellent results without complications, 2 recurrences, 1 unsatisfied

Bradley

[36]

Endoscopic bursectomy

2

7

Immediate symptomatic improvement, returned to competitive basketball with occasional aching in his right hip

Farr

[37]

Endoscopic bursectomy and concomitant iliotibial band release under local anesthesia

2

41

All excellent results, no recurrence

Kandemir

[38]

Endoscopic excision of gluteus medius/minimus calcifications

1

3

Symptom-free without limitation of any activity, normal abduction strength

Voos

[39]

Endoscopic repair of gluteus medius/minimus tears

10

25

10 complete resolution of pain; no adverse complications. Seven of 10 patients said their hip was normal, and 3 said their hip was nearly normal

Davies

[40]

Open suture of torn abductors with soft-tissue anchors in the greater trochanter

16

12

4 re-ruptures, 1 deep infection. In the remaining 11 patients there were statistically significant improvements in VAS and Oxford hip score