Arthroscopic treatment of the snapping iliopsoas tendon through the central compartment of the hip: a pilot study.
We undertook a prospective pilot study to determine whether arthroscopic surgery through the central compartment of the hip was effective in the management of a snapping iliopsoas tendon. Seven patients were assessed pre-operatively and at three, six, 12 and 24 months after operation. This included the assessment of pain on a visual analogue scale (VAS) and function using the modified Harris hip score. All the patients had resolution of snapping post-operatively and this persisted at follow-up at two years. The mean VAS score for pain fell from 7.7 (6 to 10) pre-operatively to 4.3 (0 to 10) by three months (p = 0.051), and to 3.6 (1 to 8) (p = 0.015), 2.4 (0 to 8) (p = 0.011) and 2.4 (0 to 8) (p = 0.011) by six, 12 and 24 months, respectively. The mean modified Harris hip score increased from 56.1 (13.2 to 84.7) pre-operatively to 88.4 (57.2 to 100) at one year (p = 0.018) and to 87.9 (49.5 to 100) at two years (p = 0.02). There were no complications and no weakness occurred in the musculature around the hip. Our findings suggest that this treatment is effective and would support the undertaking of a larger study comparing this procedure with other methods of treatment.
Contreras
M E K
ME
Ultralitho Centro Médico e Hospital Governador Celso Ramos, Rua Abilio Costa, 220, Santa Catarina, Brazil. dr.marcoscontreras@gmail.com
Dani
W S
WS
Endges
W K
WK
De Araujo
L C T
LC
Berral
F J
FJ
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001314:Auscultation; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D010865:Pilot Projects; D011446:Prospective Studies; D052256:Tendinopathy / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult