title: Clinical results of multiple fibrous band release for the external snapping hip.
abstract: BACKGROUND
  External snapping hip is caused by snapping of the thickened iliotibial band or the gluteus maximus over the greater trochanter. We retrospectively reviewed results of the release of multiple fibrous bands of the iliotibial band or gluteus maximus for treatment of external snapping hip in 44 patients.
  
  
  METHODS
  We wanted to evaluate the functional results of this technique in terms of resolution of symptoms, patient satisfaction, and complications. A snapping hip questionnaire was designed for the evaluation, and the results were evaluated at an average 62 months after surgery.
  
  
  RESULTS
  All the patients had resolution of their symptoms after surgery and were satisfied with the treatment. Recurrence of snapping was reported in five patients, but they did not find it severe enough to require a second surgery. Ten patients reported some limp or weakness, and four patients had seroma formation, requiring reinsertion of a drainage tube.
  
  
  CONCLUSIONS
  We recommend release of multiple fibrous bands of the iliotibial band and gluteus maximus muscle for treatment of external snapping hip, as it has a low rate of recurrence and a high rate of patient satisfaction.
authors: Department of Orthopaedics, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam, Republic of Korea.
authors: Taek Rim
authors: TR
authors: Yoon
authors: Kyung Soon
authors: KS
authors: Park
authors: Sanket R
authors: SR
authors: Diwanji
authors: Chang Young
authors: CY
authors: Seo
authors: Jong Keun
authors: JK
authors: Seon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005206:Fascia Lata / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult