Snapping hip

Snapping hip syndrome is attributed to both the iliopsoas tendon and the iliotibial band. These are distinct entities, easily distinguished from one another. Both conditions are usually treated conservatively and often require little more than assurance to the patient that the snapping is not causing damage or indicative of future problems. Surgical intervention is rarely necessary but can be successful for recalcitrant cases. Symptoms from the iliopsoas tendon can be difficult to differentiate from hip joint pathology and the 2 may coexist. Endoscopic release of the iliopsoas can be effective. Advantages include the less invasive nature of the technique and also the ability to arthroscopically assess the joint for associated intra-articular pathology. A variety of procedures have been described for recalcitrant snapping of the iliotibial band with reasonably successful outcomes. A technique that preserves the structural integrity of the tendon has the advantage of facilitating early postoperative rehabilitation with minimal morbidity. Details of the assessment, pathomechanics, and management of these conditions are outlined.