A New Operative Approach in the Correction of External Coxa Saltans: The Snapping Hip

Background External snapping hip is an entity that describes a snap that is felt on the lateral aspect of the hip. Several surgical interventions are described. Hypothesis The external snapping hip can be corrected with a simple procedure that is minimally invasive and less demanding than other tech...

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Veröffentlicht in:The American journal of sports medicine 2004-09, Vol.32 (6), p.1504-1508
Hauptverfasser: White, Richard A., Hughes, Mike S., Burd, Timothy, Hamann, Joshua, Allen, William C.
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container_end_page 1508
container_issue 6
container_start_page 1504
container_title The American journal of sports medicine
container_volume 32
creator White, Richard A.
Hughes, Mike S.
Burd, Timothy
Hamann, Joshua
Allen, William C.
description Background External snapping hip is an entity that describes a snap that is felt on the lateral aspect of the hip. Several surgical interventions are described. Hypothesis The external snapping hip can be corrected with a simple procedure that is minimally invasive and less demanding than other techniques. Study Design This is a retrospective review from June 1994 until January 2002 looking at released external snapping hips. Methods There were 16 patients with 17 hips; follow-up was in 15 patients with 16 snapping hips. Twelve patients with 13 hips were contacted by telephone interview, and 3 were followed up by their most recent chart note. All underwent the same procedure performed by the senior author. The questionnaire was conducted at an average of 32.5 months after surgery (range, 9-74 months). For 3 patients, chart-only follow-up was at 6 weeks, 3 months, and 6 months, respectively. Results Fourteen of 16 hips remained asymptomatic after final surgical release (2 hips needed a second release). All patients contacted by telephone would undergo the same procedure again if faced with the same symptoms. Conclusions This technique is simpler than most of those previously described with the benefit of no formal postoperative regimen and comparable results.
doi_str_mv 10.1177/0363546503262189
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Several surgical interventions are described. Hypothesis The external snapping hip can be corrected with a simple procedure that is minimally invasive and less demanding than other techniques. Study Design This is a retrospective review from June 1994 until January 2002 looking at released external snapping hips. Methods There were 16 patients with 17 hips; follow-up was in 15 patients with 16 snapping hips. Twelve patients with 13 hips were contacted by telephone interview, and 3 were followed up by their most recent chart note. All underwent the same procedure performed by the senior author. The questionnaire was conducted at an average of 32.5 months after surgery (range, 9-74 months). For 3 patients, chart-only follow-up was at 6 weeks, 3 months, and 6 months, respectively. Results Fourteen of 16 hips remained asymptomatic after final surgical release (2 hips needed a second release). All patients contacted by telephone would undergo the same procedure again if faced with the same symptoms. Conclusions This technique is simpler than most of those previously described with the benefit of no formal postoperative regimen and comparable results.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546503262189</identifier><identifier>PMID: 15310578</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Athletes ; Biological and medical sciences ; Care and treatment ; Diseases of the osteoarticular system ; Female ; Fractures ; Health aspects ; Hip fractures ; Hip joint ; Hip Joint - pathology ; Hip Joint - surgery ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Humans ; Injuries ; Ligaments, Articular - surgery ; Male ; Medical procedures ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Noise ; Orthopedic Procedures - methods ; Retrospective Studies ; Sports medicine ; Studies ; Syndrome ; Traumas. 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Several surgical interventions are described. Hypothesis The external snapping hip can be corrected with a simple procedure that is minimally invasive and less demanding than other techniques. Study Design This is a retrospective review from June 1994 until January 2002 looking at released external snapping hips. Methods There were 16 patients with 17 hips; follow-up was in 15 patients with 16 snapping hips. Twelve patients with 13 hips were contacted by telephone interview, and 3 were followed up by their most recent chart note. All underwent the same procedure performed by the senior author. The questionnaire was conducted at an average of 32.5 months after surgery (range, 9-74 months). For 3 patients, chart-only follow-up was at 6 weeks, 3 months, and 6 months, respectively. Results Fourteen of 16 hips remained asymptomatic after final surgical release (2 hips needed a second release). All patients contacted by telephone would undergo the same procedure again if faced with the same symptoms. Conclusions This technique is simpler than most of those previously described with the benefit of no formal postoperative regimen and comparable results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Athletes</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fractures</subject><subject>Health aspects</subject><subject>Hip fractures</subject><subject>Hip joint</subject><subject>Hip Joint - pathology</subject><subject>Hip Joint - surgery</subject><subject>Human physiology applied to population studies and life conditions. Human ecophysiology</subject><subject>Humans</subject><subject>Injuries</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Noise</subject><subject>Orthopedic Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Sports medicine</subject><subject>Studies</subject><subject>Syndrome</subject><subject>Traumas. 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Human ecophysiology</topic><topic>Humans</topic><topic>Injuries</topic><topic>Ligaments, Articular - surgery</topic><topic>Male</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Noise</topic><topic>Orthopedic Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Sports medicine</topic><topic>Studies</topic><topic>Syndrome</topic><topic>Traumas. 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Several surgical interventions are described. Hypothesis The external snapping hip can be corrected with a simple procedure that is minimally invasive and less demanding than other techniques. Study Design This is a retrospective review from June 1994 until January 2002 looking at released external snapping hips. Methods There were 16 patients with 17 hips; follow-up was in 15 patients with 16 snapping hips. Twelve patients with 13 hips were contacted by telephone interview, and 3 were followed up by their most recent chart note. All underwent the same procedure performed by the senior author. The questionnaire was conducted at an average of 32.5 months after surgery (range, 9-74 months). For 3 patients, chart-only follow-up was at 6 weeks, 3 months, and 6 months, respectively. Results Fourteen of 16 hips remained asymptomatic after final surgical release (2 hips needed a second release). 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source MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Athletes
Biological and medical sciences
Care and treatment
Diseases of the osteoarticular system
Female
Fractures
Health aspects
Hip fractures
Hip joint
Hip Joint - pathology
Hip Joint - surgery
Human physiology applied to population studies and life conditions. Human ecophysiology
Humans
Injuries
Ligaments, Articular - surgery
Male
Medical procedures
Medical sciences
Middle Aged
Minimally Invasive Surgical Procedures - methods
Noise
Orthopedic Procedures - methods
Retrospective Studies
Sports medicine
Studies
Syndrome
Traumas. Diseases due to physical agents
title A New Operative Approach in the Correction of External Coxa Saltans: The Snapping Hip
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