AANA19 Hip Access Pass-Pushing the Envelope_ Piriformis Release, Ischiofemoral Impingement and Hamstring Repair

Pushing the Envelope_ Piriformis Release, Ischiofemoral Impingement and Hamstring Repair - Featured Lecture-Dr. John D. Kelly, M.D.

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Video Transcription

Video Summary

The speaker discusses advances in treating deep gluteal space conditions like ischial femoral impingement, deep gluteal (piriformis) syndrome, and hamstring tendinosis, particularly in active middle-aged patients. They highlight the importance of precise diagnosis, conservative treatments, and novel minimally invasive surgical techniques pioneered by Hal Martin and others. Ischial femoral impingement involves compression causing buttock pain; deep gluteal syndrome features nerve compression with sciatica-like symptoms; and hamstring tendinosis often affects aging athletes with repetitive injuries. Arthroscopic approaches improve visualization and reduce complications. Although data is limited, early results show significant pain relief and functional improvement from these evolving surgical methods.

Keywords

deep gluteal syndrome

ischial femoral impingement

hamstring tendinosis

minimally invasive surgery

arthroscopic treatment