Snapping Hip Syndrome: Difference between revisions
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Compared to the body of literature for surgical management, there is a lack of evidence for specific interventions in the conservative management of snapping hip syndrome and/or tendonitis of the involved structures. Examination findings of each individual patient should guide the impairment-based approach to treatment. | Compared to the body of literature for surgical management, there is a lack of evidence for specific interventions in the conservative management of snapping hip syndrome and/or tendonitis of the involved structures. Examination findings of each individual patient should guide the impairment-based approach to treatment. | ||
Since the mechanism of injury and focus of surgical intervention has been identified as excessive shortening and tightness of the iliopsoas tendon and iliotibial band, patients may benefit from stretching of anterior hip structures | Since the mechanism of injury and focus of surgical intervention has been identified as excessive shortening and tightness of the iliopsoas tendon and iliotibial band, patients may benefit from stretching of anterior hip structures or the iliotibial band and its associated structures. <ref name="Byrd">Byrd JW. Snapping Hip. Oper Tech Sports Med. 2005: 13:46-54</ref> <ref name="Jacobson">Jacobson T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 1990; 18 (5): 470-4</ref> <ref name="Gose">Gose JC, Schweizer P. Iliotibial Band Tightness. J Orthop Sports Phys Ther. 10(10):399-407</ref> | ||
Andres et al conducted a systematic review of interventions for tendonitis, and determined that eccentric strengthening exercises showed the greatest value in decreasing pain and increasing function, when compared to other physical therapy interventions. (Andres) | Andres et al conducted a systematic review of interventions for tendonitis, and determined that eccentric strengthening exercises showed the greatest value in decreasing pain and increasing function, when compared to other physical therapy interventions. (Andres) |
Revision as of 18:00, 18 June 2011
Lead Editors - John Fite, Tre Hinejosa, Jacqueline Keller, Elizabeth Record, John Winkelhaus,
Search Strategy[edit | edit source]
Search Timeline: June 10-
Databases Searched: Cinahl, Cochrane Library, Medline, PubMed, JOSPT,
Keywords: snapping hip syndrome, conservative management, physical therapy, physiotherapy, coxa sultans, tendinosis management
Definition/Description[edit | edit source]
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Epidemiology/Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Compared to the body of literature for surgical management, there is a lack of evidence for specific interventions in the conservative management of snapping hip syndrome and/or tendonitis of the involved structures. Examination findings of each individual patient should guide the impairment-based approach to treatment.
Since the mechanism of injury and focus of surgical intervention has been identified as excessive shortening and tightness of the iliopsoas tendon and iliotibial band, patients may benefit from stretching of anterior hip structures or the iliotibial band and its associated structures. [1] [2] [3]
Andres et al conducted a systematic review of interventions for tendonitis, and determined that eccentric strengthening exercises showed the greatest value in decreasing pain and increasing function, when compared to other physical therapy interventions. (Andres)
A case study has been published which documents the complete resolution of pain in a case of lateral coxa sultans. Myofascial release of the tensor fascia latae, gluteus medius, and gluteus maximus, and adductor musculature was performed, and the patient was prescribed a general stabilization and strengthening program focusing on the abductor musculature. (Spina)
A systematic review by the Cochrane Library showed no increased benefit of transverse friction massage, when compared to other interventions, for iliotibial band friction syndrome. (Cochrane)
Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed) [edit | edit source]
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