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Endoscopy of the Medial and Anterior Hip

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Endoscopy of the Hip and Knee

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Abstract

Internal snapping hip is a common clinical condition and is usually asymptomatic, but in few cases, mostly in athletes and professionals who participate in activities requiring extreme ranges of hip motion, the snap may become painful (internal snapping hip syndrome—ISHS). Traditionally, the ISHS pathogenesis was described as a snapping of the tendon over the anterior femoral head or the iliopectineal ridge, but currently the pathological mechanism is considered multifactorial. Most patients respond well to conservative treatment, but in recalcitrant cases, surgery may be indicated. Arthroscopic iliopsoas fractional lengthening can be performed in the central compartment, peripheral compartment or at the tendon’s insertion on lesser trochanter. Better results have been reported with endoscopic iliopsoas tendon release compared with open techniques, which may be related to the treatment of concomitant intra-articular pathologies. Furthermore, endoscopic treatment showed fewer complications, decreased failure rate, and postoperative pain. Sub-spine impingement is an extra-capsular cause of femoroacetabular impingement (FAI) resulting in diminished hip range of motion and groin pain during hip flexion-based activities. Arthroscopic resection of the deformed AIIS, decompression of the sub-spine region, and treatment of concomitant FAI usually result in good clinical outcome. Calcific tendinitis of the rectus femoris (CTRF) is another underreported condition because it is usually self-limiting. Endoscopic treatment of CTRF is indicated for symptomatic cases recalcitrant to conservative treatment. Recently, arthroscopically assisted reduction of developmental dislocation of the hip (DDH) via medial approach has been developed with advantage of minimally invasive surgery. In this chapter, the endoscopic techniques are outlined.

The corresponding author of section 6.1 is Alessio Giai Via, E-mail: alessiogiaivia@hotmail.it

The corresponding author of section 6.2 is Zhang Jin, E-mail: eiolia@163.com

The corresponding author of section 6.3 is Mingjin Zhong, E-mail: sportsmedzhong@sina.com

The corresponding author of section 6.4 is Mingjin Zhong, E-mail: sportsmedzhong@sina.com

The corresponding author of section 6.5 is Feng Chao, E-mail: chaofeng_jst@163.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. Department of Orthopaedic Surgery and Traumatology, San Camillo-Forlanini Hospital, Rome, Italy

    Alessio Giai Via

  4. Hip Department (CAD), Gaetano Pini - CTO Orthopedic Institute, University of Milan, Milan, Italy

    Filippo Randelli & Alberto Fioruzzi

  5. Department of Orthopaedic Surgery and Traumatology, Villa Regina Hospital, Bologna, Italy

    Gennaro Pipino

  6. UCM Malta, Campus of Lugano, Lugano, Switzerland

    Gennaro Pipino

  7. Department of Orthopedics and Physiotherapy, UCM University, Warrensburg, MO, USA

    Gennaro Pipino

  8. Department of Life Health & Environmental Sciences, Unit of Orthopaedics and Traumatology, University of L’Aquila, L’Aquila, Italy

    Manuel Mazzoleni

  9. Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, Queen Mary University of London, London, UK

    Nicola Maffulli

  10. Institute of Science and Technology in Medicine, Keele University School of Medicine, Stoke on Trent, UK

    Nicola Maffulli

  11. Beijing Jishuitan Hospital, Beijing, China

    Jin Zhang, Feng Chao & Lu XueMin

  12. Department of Sports Medicine, Health Science Center, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong Province, China

    Mingjin Zhong

  13. Shenzhen Second People’s Hospital, Shenzhen, Guangdong Province, China

    Mingjin Zhong

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

    Tun Hing Lui

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Lui, T.H. et al. (2021). Endoscopy of the Medial and Anterior Hip. In: Lui, T.H. (eds) Endoscopy of the Hip and Knee. Springer, Singapore. https://doi.org/10.1007/978-981-16-3488-8_6

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  • DOI: https://doi.org/10.1007/978-981-16-3488-8_6

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