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. 2012 Aug 24;1(2):e161-4.
doi: 10.1016/j.eats.2012.06.001. Print 2012 Dec.

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

Louise H M Govaert  1 , C Niek van Dijk, Adelgunde V C M Zeegers, Gerardus H R Albers
Affiliations

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

Louise H M Govaert et al. Arthrosc Tech. .

Abstract

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.

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Figures

Figure 1
Figure 1
The patient is placed in the lateral decubitus position, with the leg in abduction to relax the ITB.
Figure 2
Figure 2
View of inflamed trochanteric bursa.
Figure 3
Figure 3
View of endoscopic bursectomy with Coblation device.
Figure 4
Figure 4
Release of ITB with Coblation device: vertical incision (A) and cross incision (B).
See this image and copyright information in PMC

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