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首页> 外文期刊>ANZ journal of surgery >Iliotibial band Z-lengthening for refractory trochanteric bursitis (greater trochanteric pain syndrome).
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Iliotibial band Z-lengthening for refractory trochanteric bursitis (greater trochanteric pain syndrome).

机译：lio胫带Z延长可治疗难治性转子粗囊性炎（较大的转子粗隆症候群）。

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BACKGROUND: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z-lengthening of the iliotibial band for refractory GTPS. METHODS: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years. RESULTS: At the mean follow up of 47 months following Z-lengthening, eight patients reported excellent results with complete resolution of symptoms, eight had good results with symptoms improved and one had a poor result. One patient required secondary repair of a tear in the tendon of gluteus minimus, with a subsequent excellent result. The mean Harris Hip Score improved from 46 to 82. CONCLUSION: We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery.
机译：背景：股骨转子滑囊炎或更大的股骨转子疼痛综合征（GTPS）是外侧髋关节疼痛的常见原因。本文报告了我们对难治性GTPS进行oti胫束带Z加长的新方法的经验。方法：15名患者（17髋）被诊断出对类固醇注射等保守治疗无反应。十四名患者是女性。平均年龄为60岁，平均症状持续时间为4.7年。结果：在Z轴延长后47个月的平均随访中，有8例患者报告了出色的结果并完全缓解了症状，其中8例患者的结果良好，症状得到改善，其中1例结果较差。一名患者需要对臀小肌腱撕裂进行二次修复，其后取得了出色的效果。哈里斯髋关节平均评分从46分提高到82分。结论：我们推荐这种技术用于难治性GTPS患者。手术时应确定并修复相关的臀小肌或小眼泪。

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