Clinical outcomes of trochanteric syndrome endoscopically treated
Tóm tắt
Greater trochanteric pain syndrome (GTPS) is clinically defined as greater trochanter pain with mechanical characteristics. Most cases of GTPS are resolved with conservative treatment. Surgical techniques are reserved for those who had unsatisfactory results with conservative treatment. The aim of the present paper is to describe the outcomes observed within endoscopic treatment of peritrochanteric pathology. Twenty-three patients were included in the present study, undergoing surgery between January 2010 and December 2011, diagnosed with GTPS and surgically treated with endoscopy. All patients were evaluated with Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) Modified Harris Hip Score (mHHS) and Hip Outcome Score (HOS). The Scales were assessed before surgery and at 3, 6 and 12 months postoperatively. All scores showed statistically significant differences (p < 0.001) within all periods. The endoscopic technique has proven to be safe and reproducible with good and excellent results, thus being an additional surgical procedure to consider within therapeutic management of greater trochanteric pain syndrome. IV. Case series
Tài liệu tham khảo
Segal NA, Felson DT, Torner JC, Zhu Y, Curtis JR, Niu J, Nevitt MC (2007) Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil 88(8):988–992
Meknas K, Johansen O, Kartus J (2011) Retro-trochanteric sciatica-like pain: current concept. Knee Surg Sports Traumatol Arthrosc 19(11):1971–1985
Voos JE, Ranawat AS, Kelly BT (2009) The peritrochanteric space of the hip. Instr Course Lect 58:193–201
Brinks A, van Rijn RM, Willemsen SP, Bohnen AM, Verhaar JA, Koes BW, Bierma-Zeinstra SM (2011) Corticosteroid injections for greater trochanteric pain syndrome: a randomized controlled trial in primary care. Ann Fam Med 9(3):226–34. Erratum in: Ann Fam Med. 2011 Jul–Aug; 9(3):371
Williams BS, Cohen SP (2009) Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg 108(5):1662–1670
Fearon AM, Scarvell JM, Cook JL, Smith PN (2010) Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res 468(7):1838–1844
Rath E, Tsvieli O, Levy O (2012) Hip arthroscopy: an emerging technique and indications. Isr Med Assoc J 14(3):170–174
Shbeeb MI, O’Duffy JD, Michet CJ Jr, O’Fallon WM, Matteson EL (1996) Evaluation of glucocorticosteroid injection for the treatment of trochanteric bursitis. J Rheumatol 23(12):2104–2106
Ilizaliturri VM Jr, Martinez-Escalante FA, Chaidez PA, Camacho-Galindo J (2006) Endoscopic iliotibial band release for external snapping hip syndrome. Arthroscopy 22:505–510
Voos JE, Rudzki JR, Shindle MK, Martin H, Kelly BT (2007) Arthroscopic anatomy and surgical techniques for peritrochanteric space disorders in the hip. Arthroscopy 23:1246.e1–1246.e5
Wiese M, Rubenthaler F, Willburger RE, Fennes S, Haaker R (2004) Early results of endoscopic trochanter bursectomy. Int Orthop 28:218–221
Baker CL Jr, Massie RV, Hurt WG, Savory CG (2007) Arthroscopic bursectomy for recalcitrant trochanteric bursitis. Arthroscopy 23:827–832
Smart LR, Oetgen M, Noonan B, Medvecky M (2007) Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications. Arthroscopy 23:1348–1353
Ilizaliturri VM Jr, Villalobos FE Jr, Chaidez PA, Valero FS, Aguilera JM (2005) Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. Arthroscopy 21:1375–1380
Índices y escalas utilizados en ciertas tecnologías de la prestación ortoprotésica (Protetización del Sistema Osteoarticular) AETS. Instituto de Salud «Carlos III». Ministerio de Sanidad y Consumo Madrid, Noviembre de 2002
Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4):737–755
Bourne RB, Rorabeck CH, Laupacis A et al (1995) Total hip replacement: the case for noncemented femoral fixation because of age. Can J Surg 38(Suppl 1):S61–S66
Brander VA, Malhotra S, Jet J, Heinemann AW, Stulberg D (1997) Outcome of hip and knee arthroplasty in persons aged 80 years and older. Clin Orthop Relat Res 345:67–78
Martin RL, Kelly BT, Philippon MJ (2006) Evidence of validity for the hip outcome score. Arthroscopy 22(12):1304–1311
Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B (2005) Prognosis of trochanteric pain in primary care. Br J Gen Pract 55(512):199–204
Brooker AF (1979) The surgical approach to refractory trochanteric bursitis. Johns Hopkins Med J 145:98–100
Slawski DP, Howard RF (1997) Surgical management of refractory trochanteric bursitis. Am J Sports Med 25:86–89
Provencher MT, Hofmeister EP, Muldoon MP (2004) The surgical treatment of external coxa saltans (the snapping hip) by Z-plasty of the iliotibial band. Am J Sports Med 32:470–476
Fox JL (2002) The role of arthroscopic bursectomy in the treatment of trochanteric bursitis. Arthroscopy 18:E34
Lustenberger DP, Ng VY, Best TM, Ellis TJ (2011) Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med 21(5):447–453
Byrd JW, Pappas JN, Pedley MJ (1995) Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy 11:418–423
Verhelst L, Guevara V, De Schepper J, Van Melkebeek J, Pattyn C, Audenaert EA (2012) Extraarticular hip endoscopy: a review of the literature. Bone Joint Res 1(12):324–332