# Endoscopic Distal Iliotibial Band Z-Plasty for Greater Trochanteric Pain Syndrome

## TL;DR

This paper introduces an endoscopic surgical technique for treating hip pain by altering the iliotibial band at a lower femur level.

## Contribution

The novel contribution is a minimally invasive endoscopic method for distal iliotibial band Z-plasty to treat greater trochanteric pain syndrome.

## Key findings

- Endoscopic distal ITB Z-plasty can relieve pain without traumatizing the greater trochanter area.
- The described technique offers an alternative to traditional open surgical procedures.
- Endoscopic methods may reduce complications compared to open surgeries.

## Abstract

Greater trochanteric pain syndrome (GTPS) includes idiopathic trochanteric pain, gluteus medius/minimus tendinopathy, and external snapping hip. If conservative treatment is unsuccessful, various open surgical procedures of the iliotibial band (ITB) at the level of the greater trochanter are available. Over the past few decades, endoscopic management of ITB and bursectomy for GTPS have been established as an alternative to open procedures. Better results and fewer complications are potential advantages of an endoscopic procedure. If surgery at the level of the greater trochanter fails, Z-plasty of the ITB at the level of the distal part of the femur may be considered. This operation relieves the ITB above the greater trochanter without exposing this area to further trauma. Traditionally, Z-plasty has been performed as an open procedure. This technical note describes an endoscopic method for the distal ITB Z-plasty.