124 results match your criteria Snapping Hip Syndrome

Arthroscopic Treatment for Femoroacetabular Impingement Syndrome with External Snapping Hip: A Comparison Study of Matched Case Series.

Orthop Surg 2021 Jun 17. Epub 2021 Jun 17.

Department of Orthopaedics, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.

Objective: To determine the effectiveness of hip arthroscopy combined with endoscopic iliotibial band (ITB) release in patients with both femoroacetabular impingement (FAI) syndrome and external snapping hip (ESH).

Methods: Retrospectively review the preoperative and minimum of 2-year follow-up data of patients with both FAI syndrome and ESH who underwent endoscopic ITB release during hip arthroscopy (FAI + ESH group) from January 2014 to December 2018. The same number of age- and gender-matched FAI syndrome patients without ESH undergoing hip arthroscopy were enrolled in the control group (FAI group). Read More

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Ultrasound-guided surgery for lateral snapping hip: a novel ultraminimally invasive surgical technique.

J Orthop Surg Res 2021 May 19;16(1):322. Epub 2021 May 19.

Avanfi Institute and Unit for Ultrasound-guided Surgery, Hospital Beata María Ana, Calle de Donoso Cortes 80, 28015, Madrid, Spain.

Background: Greater trochanteric pain syndrome encompasses a range of causes of lateral hip pain including greater trochanteric bursitis, tendinopathy and tears of the gluteus minimus and medius, and lateral snapping hip (LSH). Surgical options for LSH range from open surgery to endoscopic surgery, including a diamond-shaped cut or a simple transversal release to gluteus maximus tendon release. Resection of an area of proximal iliotibial band (ITB) and step-cut or z-plasty lengthening have not proven superior to transverse release of the ITB. Read More

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Borderline Dysplastic Female Patients With Painful Internal Snapping Improve Clinical Outcomes At Minimum Two-Year Follow-Up Following Hip Arthroscopy With Femoroplasty, Labral Repair, Iliopsoas Fractional Lengthening, And Capsular Plication: A Propensity-Matched Controlled Comparison.

Arthroscopy 2021 Mar 23. Epub 2021 Mar 23.

American Hip Institute, Chicago; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A.. Electronic address:

Purposes: To report minimum 2-year follow-up patient-reported outcome scores (PROs) in borderline dysplastic female patients who underwent primary hip arthroscopy with femoroplasty, labral repair, iliopsoas fractional lengthening, and plication of the capsule (FLIP procedure) for cam-type femoroacetabular impingement syndrome (FAIS), labral tear, and painful internal snapping and to compare these PROs to a propensity-matched borderline dysplastic control group without painful internal snapping.

Methods: Data were retrospectively reviewed for patients who underwent primary hip arthroscopy for cam-type FAIS and labral tear between September 2008 and May 2017. Females with borderline dysplasia (lateral center-edge angle of ≥18° to ≤25°) and painful internal snapping, who underwent the FLIP procedure, with minimum 2-year PROs for modified Harris Hip Score, Nonarthritic Hip Score, Hip Outcome Score-Sports-Specific Subscale, patient satisfaction, and visual analog scale (VAS) for pain were included. Read More

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Endoscopic Iliotibial Band Release During Hip Arthroscopy for Femoroacetabular Impingement Syndrome and External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study.

Arthroscopy 2021 Jun 2;37(6):1845-1852. Epub 2021 Feb 2.

Department of Orthopedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China. Electronic address:

Purpose: To compare patient-reported outcomes (PROs) in patients with femoroacetabular impingement (FAI) syndrome and external snapping hip (ESH) treated with hip arthroscopy with or without endoscopic iliotibial band (ITB) release.

Methods: Retrospective review case series with both FAI syndrome and ESH who underwent surgical treatment under same indications. According to the primary operation that was determined by patients themselves, the patients undergoing ITB release during hip arthroscopy for FAI syndrome were enrolled in the ITB-R group, and patients undergoing hip arthroscopy without ITB release were enrolled in non-ITB-R group. Read More

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VIDEO: Dynamic Ultrasound for Snapping Hip Syndrome.

AJR Am J Roentgenol 2021 02 23;216(2):446. Epub 2020 Dec 23.

Department of Radiological Sciences, David Geffen School of Medicine at UCLA, UCLA-Santa Monica Medical Center and Orthopaedic Hospital, 1250 16th St, Ste 2340, Santa Monica, CA 90404.

The purpose of this video article is to review the dynamic sonographic assessment of snapping hip syndrome. The video focuses on the extraarticular forms of snapping hip and discusses their possible causes, ultrasound features, and treatment options. The dynamic sonographic technique for evaluating snapping hip syndrome is shown with live scanning videos. Read More

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February 2021

Pathogenesis and contemporary diagnoses for lateral hip pain: a scoping review.

Knee Surg Sports Traumatol Arthrosc 2020 Dec 19. Epub 2020 Dec 19.

Addenbrooke's - Cambridge University Hospitals NHS Foundation Trust, Hills Road, Box 37, Cambridge, CB2 0QQ, UK.

Purpose: Recent advances in diagnostic imaging techniques and soft tissue endoscopy now allow for precise diagnosis and management of extra-articular hip pathology. The aim of this scoping review is to present an evidence-based update of the relevant literature focussing only on the pathoanatomy, clinical assessment and the diagnosis of pathology in the peritrochanteric space.

Methods: A literature search was performed on PubMed to include articles which reported on the anatomy and diagnosis of greater trochanteric pain syndrome, trochanteric bursitis, gluteus medius tears and external snapping hip syndrome. Read More

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December 2020

Non-surgical treatment as the first step to manage peritrochanteric space disorders.

Knee Surg Sports Traumatol Arthrosc 2020 Nov 21. Epub 2020 Nov 21.

Addenbrooke's Hospital, Cambridge, UK.

Purpose: Greater trochanter pain syndrome (GTPS) or lateral hip pain terms include external snapping hip, trochanteric bursitis and gluteus medius or minimus pathology. The aim of this review is to update the most recent knowledge about non-surgical management of peritrochanteric disorders.

Methods: A literature review was performed including articles most relevant in the last years that were focused in non-surgical treatment of peritrochanteric disorders. Read More

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November 2020

External Snapping Hip Syndrome Endoscopic Treatment: "Fan-like" Technique as a Stepwise, Tailor-made Solution.

Arthrosc Tech 2020 Oct 1;9(10):e1553-e1557. Epub 2020 Oct 1.

ORTIM Orthopaedic Clinic, Bialystok, Poland.

Classically, external snapping hip syndrome (ESHS) is considered to be caused by friction of a tight iliotibial band (ITB) over the greater trochanter (GT), which leads to pain, inflammation, and palpable or audible snapping. Surgical treatment remains a gold standard in patients resistant to conservative measures. Many surgical procedures addressing ESHS exist in the literature, but the vast majority of them involve only plasties of the ITB. Read More

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October 2020

Surgical interventions for external snapping hip syndrome.

Knee Surg Sports Traumatol Arthrosc 2020 Oct 16. Epub 2020 Oct 16.

Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.

Purpose: Snapping hip is a common clinical condition, characterized by an audible or palpable snap of the hip joint. When the snap is perceived at the lateral side of the hip, this condition is known as external snapping hip or lateral coxa saltans, which is usually asymptomatic. Snapping hip syndrome (SHS) refers to a painful snap, which is more common in athletes who require increased hip range of motion. Read More

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October 2020

Low rate of adverse events in a randomized controlled trial addressing the surgical treatment of femoroacetabular impingement (FAI) syndrome.

Knee Surg Sports Traumatol Arthrosc 2021 Jun 2;29(6):2015-2020. Epub 2020 Sep 2.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main St W, 4E15, Hamilton, ON, L8N 3Z5, Canada.

Purpose: The femoroacetabular impingement randomised controlled trial (FIRST) is a multi-center randomized controlled trial (RCT), comparing arthroscopic osteochondroplasty with arthroscopic lavage in adults aged 18-50 years diagnosed with non-arthritic femoroacetabular impingement (FAI) syndrome. The purpose of the present study is to report the prevalence, distribution and severity of adverse events during and within 24-month follow-up period.

Methods: Of the 220 patients included, 6 were adjudicated as ineligible, for a total of 214 patients included in the final analysis. Read More

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Bifid iliopsoas tendon as a cause for internal snapping hip syndrome: A case report.

J Clin Ultrasound 2020 Jul 24;48(6):346-349. Epub 2020 Apr 24.

Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Snapping hip syndrome, or coxa saltans, can result in significant clinical manifestations in patients including pain and limited mobility. A variety of both intra- and extra-articular pathologies have been implicated in snapping hip, including an anatomic variant known as the bifid iliopsoas tendon which has been briefly described in the literature. We report a case of a bifid iliopsoas tendon leading to internal snapping hip syndrome which was ultimately successfully treated with surgical release, including review of the clinical presentation, pathophysiology, and dynamic sonographic findings. Read More

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Platelet-Rich Plasma Versus Surgery for the Management of Recalcitrant Greater Trochanteric Pain Syndrome: A Systematic Review.

Arthroscopy 2020 03 25;36(3):875-888. Epub 2019 Dec 25.

American Hip Institute, Des Plaines, Illinois, U.S.A.. Electronic address:

Purpose: To perform a systematic review of the outcomes of platelet-rich plasma (PRP) injections as an in-office procedure versus surgical treatment for recalcitrant greater trochanteric pain syndrome (GTPS).

Methods: The MEDLINE and Embase databases were searched in June 2019 following the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Clinical studies on patients with recalcitrant GTPS treated with PRP or surgery were included. Read More

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Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients.

J Orthop Case Rep 2019 Jan-Feb;9(1):6-10

Department of Orthopaedic Surgery, St. Olavs University Hospital, Trondheim, Norway.

Introduction: Greater trochanteric pain syndrome (GTPS) includes patients with symptoms of peritrochanteric pain, gluteus medius/minimus tendinopathy, and external snapping hip. Non-operative treatment includes iliotibial band (ITB) stretching, gluteal exercises and cortisone injections. When surgery is indicated due to the failure of non-operative strategies, open Z-plasty at the level of the greater trochanter has been the traditional procedure. Read More

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Imaging of Articular and Extra-articular Sports Injuries of the Hip.

Semin Musculoskelet Radiol 2019 Jun 4;23(3):e17-e36. Epub 2019 Jun 4.

Radiology, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

Sports-related articular and periarticular hip injuries are common in athletes. Knowledge of patient complaints and clinical findings are crucial for adequate interpretation of imaging examinations. However, asymptomatic athletes can present abnormal imaging findings, and clinical presentation of hip injuries may be nonspecific. Read More

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Ultrasound imaging and guided hydrodilatation for the diagnosis and treatment of internal snapping hip syndrome.

Kaohsiung J Med Sci 2019 Sep 3;35(9):582-583. Epub 2019 May 3.

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

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September 2019

Hip Arthroscopy: extra-articular Procedures.

Hip Int 2019 Jul 21;29(4):346-354. Epub 2019 Apr 21.

2 American Hip Institute, Des Plaines, USA.

Hip preservation is one of the fastest growing fields in orthopaedics and indications of intra-articular procedures are well established. In the last decade, extra-articular procedures have gained momentum and arthroscopic solutions to peri-articular hip pathologies have been offered. It should be noted that many of these pathologies are well-treated conservatively and only those who fail conservative management should be treated operatively. Read More

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Arthroscopic techniques for treating ilio-psoas tendinopathy after hip arthroplasty.

Olivier May

Orthop Traumatol Surg Res 2019 02 13;105(1S):S177-S185. Epub 2018 Dec 13.

Médipôle Garonne, 45, rue de Gironis, 31300 Toulouse, France. Electronic address:

Impingement of hip arthroplasty components on soft tissues may adversely affect outcomes. An example is impingement of the cup on the ilio-psoas tendon, which has been reported in 0.4% to 8. Read More

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February 2019

Recognizing and Managing Snapping Hip Syndrome in Dancers.

Med Probl Perform Art 2018 12;33(4):286-291

George Mason University, 10890 George Mason Circle, Manassas, VA 20110 USA. Tel 703-993-2123, fax 703-993-2060.

Background: Snapping hip syndrome (SHS) is a common hip pathology in dancers. SHS can be either internal or external, resulting from muscle tendon tightness from repetitive hip flexion and extension, accompanied with hip abduction and/or external rotation. Muscular tightness may cause the tendon to become taut and snap over a bony prominence during hip movement, leading to muscular weakness and reduced range of motion from pain. Read More

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December 2018

Snapping Hip Syndrome.


Orthop Nurs 2018 Nov/Dec;37(6):361-362

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Snapping Hip Syndrome.

Orthop Nurs 2018 Nov/Dec;37(6):357-360

Elizabeth Badowski, MSN, RN, CRNP, Department of Orthopedics, Nationwide Children's Hospital, Columbus, OH.

Coxa saltans, or snapping hip syndrome, is a common orthopaedic problem that can easily be diagnosed and treated when the proper evaluation and management are utilized. It is often seen in growing adolescents, athletes, and people with sudden increase in physical activity. A thorough physical examination will help decipher whether the snapping hip is intra-articular or extra-articular and will help guide treatment options. Read More

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December 2018

Iliopsoas snapping hip: improving the diagnostic value of magnetic resonance imaging with a novel parameter.

Skeletal Radiol 2019 Jun 2;48(6):889-896. Epub 2018 Oct 2.

Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA.

Objective: To illustrate an advanced imaging parameter that describes the course of the iliopsoas tendon, and evaluate its correlations with iliopsoas internal hip snapping syndrome.

Methods: This retrospective cohort study reviewed hip MRI images of all patients seen by a single surgeon between January 2015 and March 2016. The comparison group included all patients with clinical internal hip snapping, versus the control group that did not. Read More

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Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip Arthroscopy? A Multicenter Comparative Study.

Am J Sports Med 2018 09 3;46(11):2624-2631. Epub 2018 Aug 3.

American Hip Institute, Westmont, Illinois, USA.

Background: Iliopsoas fractional lengthening (IFL) continues to be a controversial procedure in hip arthroscopy.

Hypothesis: Patients who underwent arthroscopic surgery for femoroacetabular impingement (FAI) and a labral tear either with or without IFL would experience favorable outcomes, and there would be no difference in postoperative patient-reported outcomes (PROs) between the 2 groups at minimum 2-year follow-up.

Study Design: Cohort study; Level of evidence, 3. Read More

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September 2018

Editorial Commentary: Caveat Flexor-To Release or Not to Release the Iliopsoas, That Is the Question.

Joshua D Harris

Arthroscopy 2018 06;34(6):1851-1855

In nonarthritic patients with femoroacetabular impingement syndrome, borderline dysplasia, and symptomatic iliopsoas snapping, arthroscopic iliopsoas fractional lengthening carries a significant risk of postarthroscopic instability. The iliopsoas is a dynamic stabilizer of the anterior hip. Thus, although statistically significant and clinically important improvements in hip function have the potential to be achieved with iliopsoas fractional lengthening, surgeons must be supremely confident in their ability to perform a secure capsular plication, labral preservation (not debridement), comprehensive cam correction, avoidance of intra-abdominal fluid extravasation, release of all iliopsoas tendon bands (if bifid or trifid), and ensure that femoral version is normal or low, neck-shaft angle is not excessively valgus, the dysplasia magnitude is no more than mild, and that there is no excessive soft tissue hypermobility. Read More

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Snapping wrist due to multiple accessory tendon of first extensor compartment.

Int J Surg Case Rep 2018 13;42:182-186. Epub 2017 Dec 13.

Dept of Orthopaedics, Government Medical College, Kozhikode, Kerala, India. Electronic address:

Background: Snapping phenomena result from the sudden impingement between anatomical and/or heterotopical structures with subsequent abrupt movement and noise. Snaps are variously perceived by patients, from mild discomfort to significant pain requiring surgical management. snapping syndrome occurs at various site like hip, knee, shoulder and wrist. Read More

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December 2017

Analysis of Arthroscopic Therapy for hip Pathologies.

Ortop Traumatol Rehabil 2017 May;19(3):249-261

Orthopedic, Trauma and Trauma Rehabilitation Department, Military Medical Academy Teaching Hospital, Central Veteran Hospital in Łódź, Poland.

[b]Background. [/b]This paper analyses the outcomes of treatment of avascular necrosis (AVN), femoroacetabular impingement (FAI), hip labral tear (HLT) and snapping hip syndrome (SHS). Moreover, the results of individual groups are also compared. Read More

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