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Endoscopic bursectomy and iliotibial tract release as a treatment for refractory greater trochanteric pain syndrome: a new endoscopic approach with early results

机译:内窥镜囊肿切除术和胫束释放术治疗难治性大转子转子疼痛综合征:一种新的内窥镜治疗方法,早期结果

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摘要

Greater trochanteric pain syndrome (GTPS) is associated with excessive tension between the iliotibial band (ITB) and the greater trochanter. Several endoscopic procedures have been reported, but in most cases the endoscopic approach only consists of a bursectomy. The ITB and fascia lata act as a lateral tension band to resist tensile strains on the concave aspect of the femur and are often implicated as the source of GTPS. We therefore believe that the ITB must be addressed. We describe an endoscopic technique to release the ITB and remove the bursa and conclude that endoscopic bursectomy with cross incision of the ITB is a safe approach to treat patients with refractory GTPS
机译:大转子转子疼痛综合征(GTPS)与胫束带(ITB)和大转子转子之间的过度紧张有关。已经报道了几种内窥镜手术,但是在大多数情况下,内窥镜手术仅包括囊肿切除术。 ITB和筋膜充当侧向张力带,以抵抗股骨凹面的拉伸应变,通常被认为是GTPS的来源。因此,我们认为必须解决ITB。我们描述了一种内窥镜技术来释放ITB并去除滑囊,并得出结论:内镜囊肿切除术与ITB交叉切口是治疗难治性GTPS患者的安全方法

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