Surgical technique: Endoscopic iliotibial band lengthening

Abstract

Disorders of the peritrochanteric region include the following three entities: external coxa saltans/external snapping hip, greater trochanteric bursitis, and gluteus medius or minimus tears, or both. Previously, these disorders have been grouped together and called “greater trochanteric pain syndrome.” In most cases, nonoperative treatment, consisting of local corticosteroid and anesthetic injections combined with structured physical therapy regimens, provides a successful outcome. When nonoperative treatment fails, endoscopic trochanteric bursectomy with iliotibial band lengthening, and/or abductor tendon repair can be performed. This chapter will focus on surgical management of iliotibial/external snapping hip and greater trochanteric bursitis.