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This Article Full Text Full Text (PDF) All Versions of this Article: 32/4/998    most recent 0363546503260066v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (2) Citing Articles via Google Scholar Google Scholar Articles by Hoskins, J. S. Articles by Allen, W. C. Search for Related Content PubMed PubMed Citation Articles by Hoskins, J. S. Articles by Allen, W. C. Related Collections Hip/groin Operative

Surgical Correction of Internal Coxa Saltans

A 20-Year Consecutive Study

From the University of Missouri, Columbia, Missouri

^* Address correspondence to William C. Allen, MD, Professor Emeritus, Department of Orthopaedic Surgery, University of Missouri–Columbia, MC213, 1 Hospital Drive, Columbia, MO 65212 (e-mail: AllenW{at}health.missouri.edu).

Purpose: To report the complications associated with surgical correction of internal snapping hip.

Study Design: Retrospective review.

Methods: A review of 92 cases of internal coxa saltans (12 bilateral) from 1982 to 2002 was performed to identify complications following primary surgical correction. An inguinal approach was used for iliopsoas tendon fractional lengthening. The average follow-up time per patient was 5.4 years.

Results: A total of 40 complications occurred in 32 patients. Complications included persistent hip pain (n = 6), sensory deficit (n = 8), and hip flexor weakness persisting longer than 1 month (n = 3). Additionally, painful bursa formation (n = 1), hematoma requiring reexploration (n = 1), and superficial infection (n = 1) were noted. Some patients developed recurrent snapping after a 3-month snapping-free interval (n = 9), and some patients never had complete resolution of snapping and were considered failures (n = 11). Of these failures/recurrences, 8 patients had a second tenotomy with 4 failures. Two had a third tenotomy, with 1 failure.

Conclusions: In this series, primary iliopsoas tendon lengthening in patients with internal coxa saltans was without any complication in only 60% of patients; however, overall patient satisfaction was 89%.

Key Words: coxa saltans • snapping hip • iliopsoas

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