Snapping Hip Syndrome

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Lead Editors - John Fite, Tre Hinejosa, Jacqueline Keller, Elizabeth Record, John Winkelhaus,

Search Strategy

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

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Epidemiology/Etiology

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Characteristics/Clinical Presentation

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Differential Diagnosis

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Outcome Measures

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Examination

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Medical Management

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Physical Therapy Management

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 ( Johnston, ), patients may benefit from stretching of anterior hip structures (Johnston) or the iliotibial band and its associated structures (old JOSPT article).

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

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Resources

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Clinical Bottom Line

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Recent Related Research (from Pubmed) 

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References

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