Mentoring Minutes: Snapping Hip

Part 1 of Snapping Hip

Part 2 of Snapping Hip

Also, check out our Patient Education on WHAT YOU CAN DO FOR A SNAPPING HIP


Topic: Snapping hip (Coxa Saltans)
- External (ITB): (more common) lateral hip; IT band moveing over greater trochanter, during flexion, extension, IR and ER. normally done active, and can be often seen visually, not passive (muscle under tension); where as ilio (can be active or passive felt
- Obers test in side lying; side-lying flex/ext
- Internal (iliopsoas tendon): Anterior Hip; iliopsoas tendons over underlying bony (iliopectinal emincence); could be related to paralabral cysts; 50% of cases associated with additional intrarticular hip pathology
- Supine hip into flexion/ER, then extended hip to neutral
- 5-10% population, majority painless; women > men; most common in ballet dancers (up to 80%), also in soccer players, weight lifters, and runners
- mostly related to overuse phenomenon (gradually progression over months); but can occur post surgical (THR); 
- Related impairments: IT band tightness, muscle/tendon tightness, inadequate relaxation, 
- Most often with hip ER and abduction at or above 90 deg of flexion (fan kick)
- Treatment: 
- rest, stretching, steroid injections, NSAIDS, activity modification
- Let it go”- need eccentric control
Semin Musculoskelet Radiol. 2013 Jul;17(3):286-94. Snapping hip: imaging and treatment. Lee et al.
Understanding and Treating the Snapping Hip. Yi-Meng Yen et al. Sports Med Arthrosc. 2015 Dec; 23(4): 194–199.
Trentacosta et al. Hip and Groin Injuries in Dancers: A Systematic Review, Sept 2017, Sports Health