Snapping hip--an unusual cause

Satku, K; Chia, J.; Kumar, Veerendra

doi:10.1302/0301-620x.72b1.2298781

Cited by 13 publications

(10 citation statements)

References 4 publications

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“…In the external form, the snapping occurs lateral to the hip joint, over the region of the greater trochanter, and is usually attributed to movement of the iliotibial band (ITB) over the greater trochanter. 34,37,39 The ITB has 2 major muscular components: the tensor fascia lata and the gluteus maximus (Figure 1). The tensor fascia lata originates anteriorly from the outer lip of the iliac crest, the anterior border of the ilium, and the outer surface of the anterior superior iliac spine and inserts on the ITB.…”

Section: Classification Of Snapping Hip and The Associated Structuresmentioning

confidence: 99%

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Extra-articular Snapping Hip: A Literature Review

Lewis

2010

Sports Health: A Multidisciplinary Approach

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Context:Snapping hip, or coxa saltans, is a vague term used to describe palpable or auditory snapping with hip movements. As increasing attention is paid to intra-articular hip pathologies such as acetabular labral tears, it is important to be able to identify and understand the extra-articular causes of snapping hip.Evidence Acquisition:The search terms snapping hip and coxa sultans were used in PubMed to locate suitable studies of any publication date (ending date, November 2008).Results:Extra-articular snapping may be caused laterally by the iliotibial band or anteriorly by the iliopsoas tendon. Snapping of the iliopsoas tendon usually requires contraction of the hip flexors and may be difficult to differentiate from intra-articular causes of snapping. Dynamic ultrasound can help detect abrupt tendon translation during movement, noninvasively supporting the diagnosis of extra-articular snapping hip. The majority of cases of snapping hip resolve with conservative treatment, which includes avoidance of aggravating activities, stretching, and anti-inflammatory medication. In recalcitrant cases, surgery to lengthen the iliotibial band or the iliopsoas tendon has produced symptom relief but may result in prolonged weakness.Conclusions:In treating active patients with snapping soft tissues around the hip, clinicians should recognize that the majority of cases resolve without surgical intervention, while being mindful of the potential for concomitant intra-articular and internal snapping hips.

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Section: Classification Of Snapping Hip and The Associated Structuresmentioning

confidence: 99%

“…External snapping hip has been linked to knee reconstruction procedures that use a portion of the ITB. 9,39 External snapping has been reported following total hip arthroplasty and has been linked to prominence of the greater trochanter, lateral placement of the prosthetic cup, or reduction in the femoral neck angle. 26 …”

Section: Clinical Characteristicsmentioning

confidence: 99%

Extra-articular Snapping Hip: A Literature Review

Lewis

2010

Sports Health: A Multidisciplinary Approach

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“…Specifically, the iliopsoas tendon may snap as it is translated over the iliopectineal eminence or anterior inferior iliac spine, 28 and labral tears, 42 osteochondromas of the greater trochanter, and even an excessively large margin of the greater trochanter may complicate the situation. 5,16,25,30,36,37,40,43 Another anatomic issue to consider is the wide insertion of the gluteus maximus muscle into the iliotibial tract. The broad coverage and wide area of action of this structure may be responsible for residual snapping, even after surgical release.…”

Section: Discussionmentioning

confidence: 99%

The Surgical Treatment of External Coxa Saltans (the Snapping Hip) by Z-Plasty of the Iliotibial Band

2004

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“…1,2 Some unusual causes have been reported in the literature, for example snapping hips occurring after either an intramuscular injection or after an operation to treat anterolateral instability of the knee. 3,4 The etiology of the internal type is still poorly understood in comparison to the external type. [5][6][7][8][9][10][11] An internal snapping hip occurs just as the iliopsoas tendon slips over the iliopectineal eminence or over the femoral head.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] Snapping hip is distinguished into two types, namely an intra-articular type and an extraarticular type. 8,9 The extra-articular type can be further delineated into three types, namely, external (lateral), internal (medial), and posterior.…”

Section: Introductionmentioning

confidence: 99%