ILIOTIBIAL BAND Z-LENGTHENING FOR REFRACTORY TROCHANTERIC BURSITIS (GREATER TROCHANTERIC PAIN SYNDROME)
Background: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z‐lengthening of the iliotibial band for refractory GTPS. Methods: Fifteen patients (17 hips) were diagnosed with GTPS unre...
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| Veröffentlicht in: | ANZ journal of surgery 2007-11, Vol.77 (11), p.996-998 |
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| container_title | ANZ journal of surgery |
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| creator | Craig, Roy A. Gwynne Jones, David P. Oakley, Andrew P. Dunbar, John D. |
| description | Background: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z‐lengthening of the iliotibial band for refractory GTPS.
Methods: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years.
Results: At the mean follow up of 47 months following Z‐lengthening, eight patients reported excellent results with complete resolution of symptoms, eight had good results with symptoms improved and one had a poor result. One patient required secondary repair of a tear in the tendon of gluteus minimus, with a subsequent excellent result. The mean Harris Hip Score improved from 46 to 82.
Conclusion: We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery. |
| doi_str_mv | 10.1111/j.1445-2197.2007.04298.x |
| format | Article |
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Methods: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years.
Results: At the mean follow up of 47 months following Z‐lengthening, eight patients reported excellent results with complete resolution of symptoms, eight had good results with symptoms improved and one had a poor result. One patient required secondary repair of a tear in the tendon of gluteus minimus, with a subsequent excellent result. The mean Harris Hip Score improved from 46 to 82.
Conclusion: We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/j.1445-2197.2007.04298.x</identifier><identifier>PMID: 17931265</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Aged ; Bursitis - pathology ; Bursitis - surgery ; Clinical outcomes ; Female ; Hip joint ; Hip Joint - pathology ; Hip Joint - surgery ; Humans ; iliotibial band ; Inflammatory diseases ; Joint surgery ; Male ; Middle Aged ; Orthopedic Procedures - methods ; Pain Measurement ; Range of Motion, Articular ; Surgical techniques ; Tendons - pathology ; Tendons - surgery ; Treatment Outcome ; trochanteric bursitis ; Z-lengthening</subject><ispartof>ANZ journal of surgery, 2007-11, Vol.77 (11), p.996-998</ispartof><rights>2007 Royal Australasian College of Surgeons</rights><rights>2007 The Authors Journal compilation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4328-bb302dc9601b1132e8b39e6a4b077978ea8cfea82253e4ea3c538c57810f84b13</citedby><cites>FETCH-LOGICAL-c4328-bb302dc9601b1132e8b39e6a4b077978ea8cfea82253e4ea3c538c57810f84b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1445-2197.2007.04298.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1445-2197.2007.04298.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17931265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Craig, Roy A.</creatorcontrib><creatorcontrib>Gwynne Jones, David P.</creatorcontrib><creatorcontrib>Oakley, Andrew P.</creatorcontrib><creatorcontrib>Dunbar, John D.</creatorcontrib><title>ILIOTIBIAL BAND Z-LENGTHENING FOR REFRACTORY TROCHANTERIC BURSITIS (GREATER TROCHANTERIC PAIN SYNDROME)</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z‐lengthening of the iliotibial band for refractory GTPS.
Methods: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years.
Results: At the mean follow up of 47 months following Z‐lengthening, eight patients reported excellent results with complete resolution of symptoms, eight had good results with symptoms improved and one had a poor result. One patient required secondary repair of a tear in the tendon of gluteus minimus, with a subsequent excellent result. The mean Harris Hip Score improved from 46 to 82.
Conclusion: We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Bursitis - pathology</subject><subject>Bursitis - surgery</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Hip joint</subject><subject>Hip Joint - pathology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>iliotibial band</subject><subject>Inflammatory diseases</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures - methods</subject><subject>Pain Measurement</subject><subject>Range of Motion, Articular</subject><subject>Surgical techniques</subject><subject>Tendons - pathology</subject><subject>Tendons - surgery</subject><subject>Treatment Outcome</subject><subject>trochanteric bursitis</subject><subject>Z-lengthening</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1v0zAUhi0EYmPjLyCLCwQXCf5I_HHBRZqliafMQW4mtN1YSeaidu064lV0_56EVkPsar6wj3ye99XReQGAGIV4OF-XIY6iOCBY8pAgxEMUESnC3Stw_NR4fahxROkReOf9EiHMmIzfgiPMJcWExcfgpypVVauJSko4SfQZvA7KTOd1kWmlczitDDTZ1CRpXZkrWJsqLRJdZ0alcHJpZqpWM_g5N1ky_P3f_p4oDWdX-sxUF9mXU_Bm3qy8e394T8DlNKvTIiirXKVJGXQRJSJoW4rITScZwi3GlDjRUulYE7WIc8mFa0Q3Hy5CYuoi19AupqKLucBoLqIW0xPwae97329-bZ1_sOuF79xq1dy5zdZbJihjXLIB_PgMXG62_d0wm8VSEMoRpwMk9lDXb7zv3dze94t10z9ajOyYhF3accl2XLgdk7B_k7C7Qfrh4L9t1-7mn_Cw-gH4tgd-L1bu8cXGNtGzsRr0wV6_8A9u96Rv-lvLOOWx_aFzy655UZyf5xbRP-JEnCY</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Craig, Roy A.</creator><creator>Gwynne Jones, David P.</creator><creator>Oakley, Andrew P.</creator><creator>Dunbar, John D.</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200711</creationdate><title>ILIOTIBIAL BAND Z-LENGTHENING FOR REFRACTORY TROCHANTERIC BURSITIS (GREATER TROCHANTERIC PAIN SYNDROME)</title><author>Craig, Roy A. ; Gwynne Jones, David P. ; Oakley, Andrew P. ; Dunbar, John D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4328-bb302dc9601b1132e8b39e6a4b077978ea8cfea82253e4ea3c538c57810f84b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bursitis - pathology</topic><topic>Bursitis - surgery</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Hip joint</topic><topic>Hip Joint - pathology</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>iliotibial band</topic><topic>Inflammatory diseases</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures - methods</topic><topic>Pain Measurement</topic><topic>Range of Motion, Articular</topic><topic>Surgical techniques</topic><topic>Tendons - pathology</topic><topic>Tendons - surgery</topic><topic>Treatment Outcome</topic><topic>trochanteric bursitis</topic><topic>Z-lengthening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Craig, Roy A.</creatorcontrib><creatorcontrib>Gwynne Jones, David P.</creatorcontrib><creatorcontrib>Oakley, Andrew P.</creatorcontrib><creatorcontrib>Dunbar, John D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Craig, Roy A.</au><au>Gwynne Jones, David P.</au><au>Oakley, Andrew P.</au><au>Dunbar, John D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ILIOTIBIAL BAND Z-LENGTHENING FOR REFRACTORY TROCHANTERIC BURSITIS (GREATER TROCHANTERIC PAIN SYNDROME)</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2007-11</date><risdate>2007</risdate><volume>77</volume><issue>11</issue><spage>996</spage><epage>998</epage><pages>996-998</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z‐lengthening of the iliotibial band for refractory GTPS.
Methods: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years.
Results: At the mean follow up of 47 months following Z‐lengthening, eight patients reported excellent results with complete resolution of symptoms, eight had good results with symptoms improved and one had a poor result. One patient required secondary repair of a tear in the tendon of gluteus minimus, with a subsequent excellent result. The mean Harris Hip Score improved from 46 to 82.
Conclusion: We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>17931265</pmid><doi>10.1111/j.1445-2197.2007.04298.x</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Aged Bursitis - pathology Bursitis - surgery Clinical outcomes Female Hip joint Hip Joint - pathology Hip Joint - surgery Humans iliotibial band Inflammatory diseases Joint surgery Male Middle Aged Orthopedic Procedures - methods Pain Measurement Range of Motion, Articular Surgical techniques Tendons - pathology Tendons - surgery Treatment Outcome trochanteric bursitis Z-lengthening |
| title | ILIOTIBIAL BAND Z-LENGTHENING FOR REFRACTORY TROCHANTERIC BURSITIS (GREATER TROCHANTERIC PAIN SYNDROME) |
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