Snapping Hip Syndrome
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]
add text here
Epidemiology/Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Medical Management
[edit | edit source]
add text here
Physical Therapy Management
[edit | edit source]
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.[4]
A case study has been published which documents the complete resolution of pain in a case of lateral coxa saltans. 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.[5]
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.[6]
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed) [edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1lctWWIYk_QHWPfB8Vl645Li__8IRP2yBLMY_w2L81C9PKZsjs|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
see adding references tutorial.
- ↑ Byrd JW. Snapping Hip. Oper Tech Sports Med. 2005: 13:46-54
- ↑ Jacobson T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 1990; 18 (5): 470-4
- ↑ Gose JC, Schweizer P. Iliotibial Band Tightness. J Orthop Sports Phys Ther. 10(10):399-407
- ↑ Andres BM, Murrell GA. Treatment of Tendinopathy. What Works, What Does Not, and What is on the Horizon. Clin Orthop Relat Res. (2008) 466:1539-1554
- ↑ Spina AA. External coxa sultans (snapping hip) treated with active release techniques: a case report. J Can Chiropr Assoc. 2007; 51(1):23-29
- ↑ Brosseau L, Casimiro L, Milne S, et al. Deep transverse friction massage for treating tendinitis (Review). Cochrane Library 2009; 1