AI Article Synopsis
- Asymptomatic snapping hip affects about 5% to 10% of people, but when pain occurs, it’s known as snapping hip syndrome (SHS), which can be either external or internal based on where the snap is felt.
- Diagnosis involves history, physical exams, and possibly imaging to rule out other issues.
- Initial treatment is often non-surgical, but if unsuccessful, options include both open and arthroscopic surgeries, with arthroscopic methods generally showing better outcomes and fewer complications for internal SHS.
Article Abstract
» Asymptomatic snapping hip affects 5% to 10% of the population; when pain becomes the primary symptom, it is classified as snapping hip syndrome (SHS).» The snap can be felt on the lateral side of the hip (external snapping hip), often attributed to an iliotibial band interaction with the greater trochanter, or on the medial side (internal snapping hip), often attributed to the iliopsoas tendon snapping on the lesser trochanter.» History and physical examination maneuvers can help distinguish the etiology, and imaging may help confirm diagnosis and rule out other pathologies.» A nonoperative strategy is used initially; in the event of failure, several surgical procedures are discussed in this review along with their pertinent analyses and key points.» Both open and arthroscopic procedures are based on the lengthening of the snapping structures. While open and endoscopic procedures both treat external SHS, endoscopic procedures typically have lower complication rates and better outcomes when treating internal SHS. This distinction does not appear to be as noticeable in the external SHS.
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Article Synopsis
- Snapping hip syndrome (SHS) affects up to 10% of people, with external snapping hip syndrome (ESHS) being the most common form, often caused by sports or anatomical factors; treatment options include physiotherapy and surgery if conservative approaches fail.
- A systematic review assessed 9 studies involving 403 patients who underwent endoscopic procedures like iliotibial band release and gluteus maximus tenotomy, showing significant improvements in symptoms and low complication rates.
- Endoscopic surgery proves effective for ESH, helping patients return to pre-injury activities, but further research is needed to evaluate long-term benefits and cost-effectiveness of these treatments.
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