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Groin Pain Syndrome pp 79–86Cite as

Extra-articular Hip Pathology

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Abstract

The snapping hip, according to the region concerned, is classified in three categories: external, internal, and intra-articular. The conflict of iliotibial band (ITB) with the greater trochanter region determines the hip external snap. Intra-articular pathologies in differential diagnosis with internal snapping hip are due to articular loose bodies, labral injury, or articular instability [1, 2]. The underlying causes of a conflict or mechanisms that may determine the onset of a snapping hip are shown in Table 9.1.

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References

  1. Allen WC, Cope R. Coxa saltans: the snapping hip revisited. J Am Acad Orthop Surg. 1995;3:303–8.

    Article  CAS  PubMed  Google Scholar 

  2. Brignall CG, Brown RM, Stainsby GD. Fibrosis of the gluteus maximus as a cause of snapping hip. J Bone Joint Surg Am. 1993;75-A:909–10.

    Article  Google Scholar 

  3. Zoltan DJ, Clancy WG, Keene JS. A new operative approach to snapping hip and refractory trochanteric bursitis in athletes. Am J Sports Med. 1986;14:201–4.

    Article  CAS  PubMed  Google Scholar 

  4. Faraj AA, Moulton A, Sirivastava VM. Snapping iliotibial band. Report of ten cases and review of the literature. Acta Orthop Belg. 2001;67:19–23.

    CAS  PubMed  Google Scholar 

  5. Farr DO, Selesnick H, Janecki C, Cordas D. Arthroscopic bursectomy with concomitant ilio-tibial band release for the treatment of recalcitrant trochanteric bursitis. Arthroscopy. 2007;23:905.e1–5.

    Article  Google Scholar 

  6. Ilizaliturri Jr VM, Martinez-Escalante FA, Chaidez PA, Camacho-Galindo J. Endoscopic iliotibial band release for external snapping hip syndrome. Arthroscopy. 2006;22:505–10.

    Article  PubMed  Google Scholar 

  7. Ilizzaliturri Jr VM, Camacho-Galindo J. Endoscopic treatment of snapping hips, iliotibilal band and ileopsoas tendon. Sport Med Arthrosc. 2010;18:120–7.

    Article  Google Scholar 

  8. Glick JM, Sampson TG, Gordon RB, Behr JT, Schmidt E. Arthroscopy by lateral approach. Arthroscopy. 1987;3(1):4–12.

    Article  CAS  PubMed  Google Scholar 

  9. Polesello GC, Queiroz MC, Domb BG, Ono NK, Honda EK. Surgical technique: Endoscopic gluteus maximus tendon release for external snapping hip syndrome. Clin Orthop Relat Res. 2013;471(8):2471–6.

    Article  PubMed  Google Scholar 

  10. Zini R, Munegato D, De Benedetto M, Carraro A, Bigoni M. Endoscopic iliotibial band release in snapping hip. Hip Int. 2013;23(2):225–32.

    Article  PubMed  Google Scholar 

  11. Alpert JM, Kozanek M, Li G, Kelly BT, Asnis PD. Cross-sectional analysis of the iliopsoas tendon and its relationship to the acetabular labrum: an anatomic study. Am J Sports Med. 2009;37:1594–8.

    Article  PubMed  Google Scholar 

  12. Polster JM, Elgabaly M, Lee H, Klika A, Drake R, Barsoum W. MRI and gross anatomy of the iliopsoas tendon complex. Skeletal Radiol. 2008;37:55–8.

    Article  PubMed  Google Scholar 

  13. Winston P, Awan R, Cassidy JD, Bleakney RK. Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Am J Sports Med. 2007;35(1):118–26.

    Article  PubMed  Google Scholar 

  14. Register B, Pennock AT, Ho CP, Strickland CD, Lawand A, Philippon MJ. Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study. Am J Sports Med. 2012;40:2720–4.

    Article  PubMed  Google Scholar 

  15. Tatu L, Parratte B, Vuillier F, Diop M, Monnier G. Descriptive anatomy of the femoral portion of the iliopsoas muscle: anatomical basis of anterior snapping of the hip. Surg Radiol Anat. 2001;23:371–4.

    Article  CAS  PubMed  Google Scholar 

  16. Wahl CJ, Warren RF, Adler RS, Hannafin JA, Hansen B. Internal coxa saltans (snapping hip) as a result of overtraining: report of 3 cases in professional athletes with a review of causes and the role of ultra-sound in early diagnosis and management. Am J Sports Med. 2004;32:1302–9.

    Article  PubMed  Google Scholar 

  17. Lee KS, Rosas HG, Phancao JP. Snapping hip: imaging and treatment. Semin Musculoskelet Radiol. 2013;17(3):286–94.

    Article  PubMed  Google Scholar 

  18. JWT B. Hip arthroscopy: evolving frontiers. Oper Tech Orthop. 2004;14:58–67.

    Article  Google Scholar 

  19. Byrd JWT. Snapping hip. Oper Tech Sports Med. 2005;13:46–54.

    Article  Google Scholar 

  20. Byrd JW. Evaluation and management of the snapping iliopsoas tendon. Instr Course Lect. 2006;55:347–55.

    PubMed  Google Scholar 

  21. Gruen GS, Scioscia TN, Lowenstein JE. The surgical treatment of internal snapping hip. Am J Sports Med. 2002;30:607–13.

    PubMed  Google Scholar 

  22. Jacobson T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med. 1990;18:470–4.

    Article  CAS  PubMed  Google Scholar 

  23. Ilizaliturri Jr VM, Buganza-Tepole M, Olivos-Meza A, Acuna M. Central compartment release versus lesser trochanter release of the iliopsoas tendon for the treatment of internal snapping hip: a comparative study. Arthroscopy. 2014;30(7):790–5.

    Article  PubMed  Google Scholar 

  24. Ilizaliturri Jr VM, Chaidez C, Villegas P, Briseño A, Camacho-Galindo J. Prospective randomized study of 2 different techniques for endoscopic iliopsoas tendon release in the treatment of internal snapping hip syndrome. Arthroscopy. 2009;25(2):159–63.

    Article  PubMed  Google Scholar 

  25. Ilizaliturri Jr VM, Villalobos Jr FE, Chaidez PA, Valero FS, Aguilera JM. Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. Arthroscopy. 2005;21(11):1375–80.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Maria Cecilia Hospital GVM Care and Research, Cotignola, Ravenna, Italy

    Raul Zini

  2. San Carlo di Nancy Hospital - GVM Care and Research, Rome, Italy

    Manlio Panascì M.D.

Authors
  1. Raul Zini
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  2. Manlio Panascì M.D.
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Correspondence to Manlio Panascì M.D. .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Maria Cecilia Hospital, GVM Care and Research, Cotignola, Ravenna, Italy

    Raul Zini

  2. Knee Orthopaedic and Sport Traumatology, Humanitas Research Hospital, Rozzano, Milan, Italy

    Piero Volpi

  3. Kinemove Rehabilitation Center, Pontremoli, Massa Carrara, Italy

    Gian Nicola Bisciotti

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Zini, R., Panascì, M. (2017). Extra-articular Hip Pathology. In: Zini, R., Volpi, P., Bisciotti, G. (eds) Groin Pain Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-41624-3_9

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  • DOI: https://doi.org/10.1007/978-3-319-41624-3_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41623-6

  • Online ISBN: 978-3-319-41624-3

  • eBook Packages: MedicineMedicine (R0)

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