The external snapping hip syndrome is a not uncommon debilitating pathology, affecting mostly young female athletes. Historically its pathogenesis has been described as a mechanical impingement of a tightened Iliotibial Band (ITB) over the Greater Trochanter. Different surgical strategies have been proposed for the refractory cases, aimed to achieve an adequate release of the ITB by producing defect on it. As the hip arthroscopy field spread worldwide, the endoscopic techniques for the ITB release gained more consensus. In recent times, a novel interpretation of the ESHS etiopathogenesis led Polesello et al. to conceive and design an innovative and more straightforward endoscopic strategy, addressing only the Gluteus Maximus (GM) tendon. Without compromising the hip and the ITB biomechanics’ lateral compartment, the endoscopic GM tendon release shows good clinical results and a similar success rating, compared to the other techniques, also providing a reasonable salvage procedure for previous ITB release failures.
Maximus release-polesello technique: The endoscopic gluteus maximus tendon release
Mazzoleni M. G.;Calvisi V.;
2021-01-01
Abstract
The external snapping hip syndrome is a not uncommon debilitating pathology, affecting mostly young female athletes. Historically its pathogenesis has been described as a mechanical impingement of a tightened Iliotibial Band (ITB) over the Greater Trochanter. Different surgical strategies have been proposed for the refractory cases, aimed to achieve an adequate release of the ITB by producing defect on it. As the hip arthroscopy field spread worldwide, the endoscopic techniques for the ITB release gained more consensus. In recent times, a novel interpretation of the ESHS etiopathogenesis led Polesello et al. to conceive and design an innovative and more straightforward endoscopic strategy, addressing only the Gluteus Maximus (GM) tendon. Without compromising the hip and the ITB biomechanics’ lateral compartment, the endoscopic GM tendon release shows good clinical results and a similar success rating, compared to the other techniques, also providing a reasonable salvage procedure for previous ITB release failures.Pubblicazioni consigliate
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