The snapping hip syndrome

Abstract

The snapping hip syndrome is a symptom complex characterized by hip pain and an audible snapping of the hip with exercise typically seen in young individuals. "External" and "internal" etiologies have been described, although the "internal" etiology is poorly understood. A clinical, radiographic, and anatomical study of eight patients with this disorder, secondary to an internal etiology, was undertaken to aid in the diagnosis and surgical treatment. Iliopsoas bursography with cineradiography revealed subluxation of the iliopsoas tendon to be an apparent cause of the snapping hip. The anatomy of the hip in relationship to the iliopsoas tendon is defined with the anterior inferior iliac spine, iliopectineal eminence, and lesser trochanter assuming a significant role in the syndrome. An operative approach involving a partial release and lengthening of the iliopsoas tendon, with minimal resection of a lesser trochanteric bony ridge, if involved, is described.

Coxa saltans caused by extraarticular synovial chondromatosis overlying an isolated osteochondroma of the greater trochanter: A rare aetiology

“…Hussain et al 4 have reported femoral acetabular impingement secondary to osteochondroma. Schaberg et al 5 have reported two cases of internal snapping hip due to proximal femur exostosis. Sanshiro et al 6 have reported a case of external snapping hip caused by exostosis of proximal femur.…”

External Snapping Hip Syndrome: Emphasis on the MR Imaging

“…The internal type of extraarticular snapping is the iliopsoas tendon slipping over the iliopectineal eminence. Other causes include iliopsoas bursa slipping of the iliofemoral ligament over the femoral head and slipping of the long head of the biceps femoris tendon over the ischial tuberosity (1,(6)(7)(8)(9)(10) Mayer insisted that the major factors of snapping hip syndrome were abnormality of the fascia lata that forms the catch back of the posterior greater trochanter, unusual prominency of the trochanter, abnormal relaxation of the gluteus maximus muscle and irregularities of the acetabulum (8). In addition to the fascia lata being the cause, there has been a reported case that developed snapping hip syndrome due to a band of fibrous tissue that corresponded to a portion of the gluteus maximus muscle.…”

Operative Arthroskopie des Hüftgelenks

“…Offene Verfahren zeigten Komplikationsraten bis zu 40% wie Rezidive, eine bleibende Schwäche der Hüftbeugung und Parästhesien im ventralen Oberschenkel [1,23,34,45]. Byrd [8,9] …”