A novel iliotibial band and gluteus maximus tenodesis for the treatment of external coxa saltas in a patient with Ehlers–Danlos syndrome

Abstract

INTRODUCTION We report a unique surgical treatment for external coxa sal-tans refractory to previous open and endoscopic manage-ment in a patient with Ehlers–Danlos syndrome. After failure of two endoscopic iliotibial band (ITB) lengthen-ings and one open gluteus maximus (GMax) lengthening, a novel procedure was conducted, which involved release of the GMax insertion and tenodesis of the anterior and posterior portions of the ITB to prevent pathologic transla-tion over the trochanter. CASE REPORT An 18-year-old female with Ehlers–Danlos syndrome (Body mass index 16.2 kg/m