Arthroscopic Treatment of Symptomatic Internal Snapping Hip with Combined Pathologies.
10.4055/cios.2015.7.2.158
- Author:
Duck Soo HWANG
1
;
Jung Mo HWANG
;
Pil Sung KIM
;
Sung Min RHEE
;
Seung Hwan PARK
;
Soo Yong KANG
;
Yong Chan HA
Author Information
1. Department of Orthopaedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.
- Publication Type:Clinical Study ; Original Article
- Keywords:
Internal snapping hip syndrome;
Femoroacetabular impingement;
Arthroscopy;
Iliopsoas tendon tenotomy
- MeSH:
Adult;
*Arthroscopy;
Female;
*Hip Joint;
Humans;
Joint Diseases/*surgery;
Male;
Middle Aged;
Retrospective Studies;
Tenotomy/*methods;
Young Adult
- From:Clinics in Orthopedic Surgery
2015;7(2):158-163
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Arthroscopic iliopsoas tendon release was introduced in 2000. The purpose of this study was to evaluate clinical outcomes of arthroscopic iliopsoas tendon release for painful internal snapping hip with concomitant hip pathologies. METHODS: Between January 2009 and December 2011, we performed arthroscopic iliopsoas tendon release and related surgeries in 25 patients (20 men and 5 women; mean age, 32 years; range, 17 to 53 years) with combined intraarticular hip pathologies. The patients were followed for a minimum of 2 years postoperatively. Clinical and radiological evaluations were performed. RESULTS: Snapping sounds had disappeared by the 2-year follow-up in 24 of the 25 patients. All patients who had presented with loss of flexion strength postoperatively showed recovery at postoperative week 6 to 10. Harris hip score improved from 65 points (range, 46 to 86 points) preoperatively to 84 points (range, 67 to 98 points) postoperatively (p < 0.001). Seven hips (28%) had an excellent score, 15 hips (60%) a good score, 2 hips (8%) a fair score, and one hip (4%) a poor score (p < 0.001). The Tonnis grade of osteoarthritis did not change in any of the patients at the last follow-up. CONCLUSIONS: Patients with painful internal snapping hip have combined hip pathologies. Therefore, the surgeon should keep in mind that painful internal snapping hips are frequently combined with concomitant intraarticular pathologies.
