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Endoscopy of the Deep Gluteal Space

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Endoscopy of the Hip and Knee

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Abstract

Deep gluteal syndrome (DGS) is defined as the presence of pain in the subgluteal space caused from non-discogenic and extra-pelvic entrapment of the sciatic nerve in which piriformis syndrome is the most common cause. The whole sciatic nerve trajectory in the deep gluteal space can be addressed by an endoscopic surgical technique, allowing the treatment of the diverse causes of sciatic nerve entrapment. Ischiofemoral impingement is a rare cause of posterior hip pain featured by the contact between the lesser trochanter and the ischium. If conservative treatment fails to relieve symptoms, endoscopic lesser trochanter osteoplasty can be considered. Hamstring injuries affect both athletes and middle-aged individuals and may cause significant impairment. The spectrum of hamstring injuries ranges from muscle strains to avulsion injuries. Non-operative management has been proposed for muscle strains and low-grade partial tears of the hamstring origin, whereas surgery is recommended in the setting of more refractory cases of proximal avulsions, with open surgical repair with suture anchors being the gold standard. With the advent of hip arthroscopy and refinement of endoscopic techniques, endoscopic hamstring repair has come to be considered as an effective and safe alternative to open repair. In this chapter, the endoscopic techniques are outlined.

The corresponding author of section 5.1 is Luis Perez Carro, Email: lpcarro@gmail.com

The corresponding author of section 5.2 is Carlos Suarez-Ahedo, Email: drsuarezahedo@gmail.com

The corresponding author of section 5.3 is Guangxing Chen, Email: cgx7676@hotmail.com

The corresponding author of section 5.4 is Yan Xu, Email: yanxu@139.com

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China

    Tun Hing Lui

  2. The Second Affiliated Hospital, Shenzhen University, Shenzhen, China

    Tun Hing Lui

  3. Orthopedic Surgery Department Clinica Mompia, Santander, Cantabria, Spain

    Luis Perez Carro, Natalia Fernandez Escajadillo, Jose Antonio Fernandez-Divar & Ana Alfonso Fernandez

  4. Department of Radiology, Diagnóstico Médico Cantabria (DMC), Santander, Cantabria, Spain

    Moises Fernandez Hernando & Luis Cerezal Pesquera

  5. National Rehabilitation Institute of Mexico, Mexico City, Mexico

    Victor M. Ilizaliturri Jr, Ruben Arriaga & Carlos Suarez-Ahedo

  6. Hospital Medica Sur, Mexico City, Mexico

    Carlos Suarez-Ahedo

  7. Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, China

    Tiao Su & Guangxing Chen

  8. Institute of Sports Medicine, Peking University Third Hospital, Beijing, China

    Yan Xu

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    Tun Hing Lui

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Lui, T.H. et al. (2021). Endoscopy of the Deep Gluteal Space. In: Lui, T.H. (eds) Endoscopy of the Hip and Knee. Springer, Singapore. https://doi.org/10.1007/978-981-16-3488-8_5

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  • DOI: https://doi.org/10.1007/978-981-16-3488-8_5

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