Arthroscopic Treatment for External Snapping Hip
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Purpose: The purpose of this study was to evaluate the clinical outcome of arthroscopic treatment forrecalcitrant external snapping hip. Materials and Methods: Between September 2011 and June 2013, we evaluated 7 patients (10 cases) withsnapping hip who were refractory to conservative treatments for at least 3 months. Two patients (4 cases) wereimpossible to adduct both knees in 90。of hip flexion. Surgery was done in lateral decubitus position, underspinal anesthesia. We made 2 arthroscopic portals to operate the patients, and used cross-cutting with flapresection technique to treat the lesion. We performed additional gluteal sling release in those 2 patients (4 cases)with adduction difficulty. Average follow-up length was 19 months (range, 12-33 months). Clinical improvementwas evaluated with visual analog scale (VAS), modified Harris hip score (mHHS), and also investigated forpresence of limping or other complications as well. Results: The VAS decreased from 6.8 (range, 6-9) preoperatively to 0.2 (range, 0-2) postoperatively, and themHHS improved from 68.2 to 94.8 after surgery. None of the patients complained of post-operative woundproblem or surgical complications. Conclusion: The clinical outcome of arthroscopic treatment for recalcitrant external snapping hip wasencouraging and all patients were also satisfied with the cosmetic results.
Abstract
Purpose: The purpose of this study was to evaluate the clinical outcome of arthroscopic treatment forrecalcitrant external snapping hip. Materials and Methods: Between September 2011 and June 2013, we evaluated 7 patients (10 cases) withsnapping hip who were refractory to conservative treatments for at least 3 months. Two patients (4 cases) wereimpossible to adduct both knees in 90。of hip flexion. Surgery was done in lateral decubitus position, underspinal anesthesia. We made 2 arthroscopic portals to operate the patients, and used cross-cutting with flapresection technique to treat the lesion. We performed additional gluteal sling release in those 2 patients (4 cases)with adduction difficulty. Average follow-up length was 19 months (range, 12-33 months). Clinical improvementwas evaluated with visual analog scale (VAS), modified Harris hip score (mHHS), and also investigated forpresence of limping or other complications as well. Results: The VAS decreased from 6.8 (range, 6-9) preoperatively to 0.2 (range, 0-2) postoperatively, and themHHS improved from 68.2 to 94.8 after surgery. None of the patients complained of post-operative woundproblem or surgical complications. Conclusion: The clinical outcome of arthroscopic treatment for recalcitrant external snapping hip wasencouraging and all patients were also satisfied with the cosmetic results.
참고문헌 (16)
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