scholarly journals Iliopsoas Tendon Reformation after Psoas Tendon Release

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
K. Garala ◽  
R. A. Power
Keyword(s):  
Surgical Intervention ◽  
Symptom Relief ◽  
Prevalence Rates ◽  
Iliopsoas Tendon ◽  
Lesser Trochanter ◽  
Snapping Hip ◽  
Surgical Options ◽  
Snapping Hip Syndrome ◽  
Long Term Studies

Internal snapping hip syndrome, or psoas tendonitis, is a recognised cause of nonarthritic hip pain. The majority of patients are treated conservatively; however, occasionally patients require surgical intervention. The two surgical options for iliopsoas tendinopathy are step lengthening of the iliopsoas tendon or releasing the tendon at the lesser trochanter. Although unusual, refractory snapping usually occurs soon after tenotomy. We report a case of a 47-year-old active female with internal snapping and pain following an open psoas tenotomy. Postoperatively she was symptom free for 13 years. An MRI arthrogram revealed reformation of a pseudo iliopsoas tendon reinserting into the lesser trochanter. The pain and snapping resolved after repeat iliopsoas tendon release. Reformation of tendons is an uncommon sequela of tenotomies. However the lack of long-term studies makes it difficult to calculate prevalence rates. Tendon reformation should be included in the differential diagnosis of failed tenotomy procedures after a period of symptom relief.

Central Compartment Release Versus Lesser Trochanter Release of the Iliopsoas Tendon for the Treatment of Internal Snapping Hip: A Comparative Study

2014 ◽  
Vol 30 (7) ◽  
pp. 790-795 ◽  
Author(s):  
Victor M. Ilizaliturri ◽  
Martín Buganza-Tepole ◽  
Anell Olivos-Meza ◽  
Marco Acuna ◽  
Eduardo Acosta-Rodriguez
Keyword(s):  
Comparative Study ◽  
Central Compartment ◽  
Iliopsoas Tendon ◽  
Lesser Trochanter ◽  
Snapping Hip

scholarly journals Extra-articular Snapping Hip: A Literature Review

2010 ◽  
Vol 2 (3) ◽  
pp. 186-190 ◽  
Author(s):  
Cara L. Lewis
Keyword(s):  
Soft Tissues ◽  
Symptom Relief ◽  
Iliotibial Band ◽  
Publication Date ◽  
Iliopsoas Tendon ◽  
Snapping Hip ◽  
Search Terms ◽  
Labral Tears ◽  
Dynamic Ultrasound ◽  
Active Patients

Context: Snapping hip, or coxa saltans, is a vague term used to describe palpable or auditory snapping with hip movements. As increasing attention is paid to intra-articular hip pathologies such as acetabular labral tears, it is important to be able to identify and understand the extra-articular causes of snapping hip. Evidence Acquisition The search terms snapping hip and coxa sultans were used in PubMed to locate suitable studies of any publication date (ending date, November 2008). Results: Extra-articular snapping may be caused laterally by the iliotibial band or anteriorly by the iliopsoas tendon. Snapping of the iliopsoas tendon usually requires contraction of the hip flexors and may be difficult to differentiate from intra-articular causes of snapping. Dynamic ultrasound can help detect abrupt tendon translation during movement, noninvasively supporting the diagnosis of extra-articular snapping hip. The majority of cases of snapping hip resolve with conservative treatment, which includes avoidance of aggravating activities, stretching, and anti-inflammatory medication. In recalcitrant cases, surgery to lengthen the iliotibial band or the iliopsoas tendon has produced symptom relief but may result in prolonged weakness. Conclusions: In treating active patients with snapping soft tissues around the hip, clinicians should recognize that the majority of cases resolve without surgical intervention, while being mindful of the potential for concomitant intra-articular and internal snapping hips.

Internal Snapping Hip Syndrome: Treatment by Endoscopic Release of the Iliopsoas Tendon

2005 ◽  
Vol 21 (11) ◽  
pp. 1375-1380 ◽  
Author(s):  
Victor M. Ilizaliturri ◽  
Felix E. Villalobos ◽  
Pedro A. Chaidez ◽  
Fernando S. Valero ◽  
Jose M. Aguilera
Keyword(s):  
Iliopsoas Tendon ◽  
Snapping Hip ◽  
Endoscopic Release ◽  
Snapping Hip Syndrome

scholarly journals Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome

2021 ◽  
Author(s):  
Chun-Ting Chu ◽  
Huan Hsu ◽  
Hao-Che Tang ◽  
Alvin Chao-Yu Chen ◽  
Yi-Sheng Chan
Keyword(s):  
Clinical Outcomes ◽  
Arthroscopic Surgery ◽  
Harris Hip Score ◽  
Iliotibial Band ◽  
Snapping Hip ◽  
External Snapping Hip ◽  
Modified Harris Hip Score ◽  
Snapping Hip Syndrome

ABSTRACT This study evaluated the outcomes of arthroscopic surgery for the treatment of external snapping hip at 2- to 10-year follow-ups. Eighteen patients with refractory external snapping hip treated by arthroscopic surgery were enrolled in this prospective study. All patients underwent unsuccessful conservative treatment for more than 3 months before surgery. We made diamond-shaped defects on the iliotibial band and resected peripheral fibrosis tissues for iliotibial band release with an arthroscopic approach. The visual analog scale (VAS), modified Harris hip score and return to previous level of activity were evaluated as functional outcomes. In addition, residual discomfort or the presentation of complications was also investigated. The average follow up period was 7 years. The modified Harris hip score increased from 70.08 preoperatively to 93.14 postoperatively, and the VAS score decreased from 3.67 preoperatively to 1.17 2 weeks after the operation and declined to 0.33 at the last follow-up. Neither recurrence of snaps nor complications were recorded. Two patients complained of a tight sensation with tenderness after exertion. Our clinical outcomes were compatible with those of previous studies, and no long-term complications were noted, even with a relatively longer follow-up period than what was reported in previous studies. Arthroscopic surgery is a safe and effective treatment that can provide promising long-term clinical outcomes for patients with refractory external snapping hip.

scholarly journals Computed Tomographic Semiotics of Apical Vertebrae in Patients with Idiopathic Scoliosis Aged from 14 to 18 years, Depending on the Magnitude of Spinal Deformity

2021 ◽  
pp. 11-27
Author(s):  
Yu. L. Zejnalov ◽  
G. V. Diachkova ◽  
A. V. Burtsev ◽  
K. A. Diachkov ◽  
I. V. Sutyagin ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Multislice Computed Tomography ◽  
Preoperative Planning ◽  
Surgical Intervention ◽  
Structural Features ◽  
Diagnostic Methods ◽  
Computed Tomographic ◽  
Scoliosis Treatment ◽  
Long Term Studies

Idiopathic scoliosis, as many authors think, being idiopathic in terms of not fully clear etiology of the disease, due to the most complicated long-term studies, has a certain theory of the pathogenesis of scoliosis, which includes the disharmony of the longitudinal growth of the spine and spinal cord and the formation of vertebral torsion. The application of various versions of modern vertebral instrumentation for 20 years made it possible to develop a differentiated approach to the choice of surgical intervention, taking into account the patient’s age and the peculiarities of the deformed spine. Nevertheless, the use of current diagnostic methods indicated that not all the details of the deformed vertebral structure have been studied, in particular the apical ones, that are usually more changed being at the apex of the deformity. The application of multislice computed tomography (MSCT) and current statistical methods made it possible to reveal the structural features of the apical vertebrae in the group of adolescent scoliosis (14–18 years old), that is important for increasing the effectiveness of preoperative planning and improving the results of idiopathic scoliosis treatment being one of the most difficult problems of the spine surgery.

Implications of Long-Term Studies of Three Model Preschool Programs for Head Start

2008 ◽  
Author(s):  
Lawrence J. Schweinhart ◽  
Elena V. Malofeeva ◽  
Lawrence J. Schweinhart ◽  
Michelle M. Englund ◽  
Arthur J. Reynolds ◽  
...  
Keyword(s):  
Head Start ◽  
Preschool Programs ◽  
Long Term Studies

Primary varicose veins

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 133-137
Author(s):  
H. Partsch
Keyword(s):  
Varicose Veins ◽  
Compression Therapy ◽  
Daily Practice ◽  
Clinical Severity ◽  
Compression Stockings ◽  
Primary Varicose Veins ◽  
The Cost ◽  
Convincing Data ◽  
Long Term Studies

SummaryBackground: Compression stockings are widely used in patients with varicose veins. Methods: Based on published literature three main points are discussed: 1. the rationale of compression therapy in primary varicose veins, 2. the prescription of compression stockings in daily practice, 3. studies required in the future. Results: The main objective of prescribing compression stockings for patients with varicose veins is to improve subjective leg complaints and to prevent swelling after sitting and standing. No convincing data are available concerning prevention of progression or of complications. In daily practice varicose veins are the most common indication to prescribe compression stockings. The compliance depends on the severity of the disorder and is rather poor in less severe stages. Long-term studies are needed to proof the cost-effectiveness of compression stockings concerning subjective symptoms and objective signs of varicose veins adjusted to their clinical severity. Conclusion: Compression stockings in primary varicose veins are able to improve leg complaints and to prevent swelling.

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