A new study published in the American journal “Arthroscopy” provides fresh evidence on the treatment of patients with femoroacetabular impingement and coexisting iliotibial band syndrome (snapping hip). The study compared patients with femoroacetabular impingement and a snapping hip, who were divided into two groups: in the first only the femoroacetabular impingement was treated, and in the second an iliotibial band release was carried out at the same time. The results of the study were based on outcomes reported by the patients (patient-reported outcomes).
This was a retrospective study of patients with coexisting symptoms of femoroacetabular impingement and iliotibial band syndrome. In the first group the femoroacetabular impingement was treated at the same time with osteoplasty and an endoscopic release of the iliotibial band was performed, while in the second group the femoroacetabular impingement was treated on its own. Patients with dysplasia, severe osteoarthritis, revision hip arthroscopy and bilateral surgery were excluded from the study. The patient-assessed outcomes were obtained using the hip outcome scales Hip Outcome Tool (iHot-33), modified Harris Hip Score (mHHS), Visual Analog Scale for Pain (VAS pain) and Visual Analog Scale Satisfaction (VAS Satisfaction). The incidence of iliotibial band syndrome in patients with femoroacetabular impingement syndrome who underwent hip arthroscopy was 4.9% and the mean age was 33.1 ± 6.9 years. 16 patients were in the group with iliotibial band release and 11 patients in the group without it.
The authors concluded that patients with coexisting femoroacetabular impingement syndrome and iliotibial band syndrome who underwent release of the iliotibial band during hip arthroscopy had better results than those in whom no release was carried out.
Source: “Arthroscopy”, June 2021
