Bifid iliopsoas tendon as a cause for internal snapping hip syndrome: A case report

Internal snapping hip syndrome, or psoas tendonitis, is a recognised cause of nonarthritic hip pain. The majority of patients are treated conservatively; however, occasionally patients require surgical intervention. The two surgical options for iliopsoas tendinopathy are step lengthening of the iliopsoas tendon or releasing the tendon at the lesser trochanter. Although unusual, refractory snapping usually occurs soon after tenotomy. We report a case of a 47-year-old active female with internal snapping and pain following an open psoas tenotomy. Postoperatively she was symptom free for 13 years. An MRI arthrogram revealed reformation of a pseudo iliopsoas tendon reinserting into the lesser trochanter. The pain and snapping resolved after repeat iliopsoas tendon release. Reformation of tendons is an uncommon sequela of tenotomies. However the lack of long-term studies makes it difficult to calculate prevalence rates. Tendon reformation should be included in the differential diagnosis of failed tenotomy procedures after a period of symptom relief.

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Case Report: Bifid Iliopsoas Tendon Causing Refractory Internal Snapping Hip

Clinical Orthopaedics and Related Research ◽

10.1007/s11999-010-1452-z ◽

2010 ◽

Vol 469 (1) ◽

pp. 289-293 ◽

Cited By ~ 39

Author(s):

Beatrice Shu ◽

Marc R. Safran

Keyword(s):

Case Report ◽

Iliopsoas Tendon ◽

Snapping Hip

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External Snapping Hip Syndrome: A Case Report of a Professional Hockey Player

Enhancing Health and Sports Performance by Design - Lecture Notes in Bioengineering ◽

10.1007/978-981-15-3270-2_39 ◽

2020 ◽

pp. 372-378

Author(s):

Muhammad Yusri Yunus ◽

M. G. Matthew ◽

Redzal Abu Hanifah

Keyword(s):

Case Report ◽

Snapping Hip ◽

Hockey Player ◽

External Snapping Hip ◽

Professional Hockey ◽

Snapping Hip Syndrome

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Síndrome da Anca de Ressalto

Revista de Medicina Desportiva ◽

10.23911/rmd.vol9.iss1.pp8-11 ◽

2018 ◽

Vol 9 (1) ◽

pp. 8

Author(s):

Bernardo Almeida

Keyword(s):

Surgical Treatment ◽

Hip Joint ◽

Scientific Literature ◽

Therapeutic Targets ◽

Clinical History ◽

Disease Diagnosis ◽

Diagnosis And Treatment ◽

Snapping Hip ◽

Predominant Symptom ◽

Snapping Hip Syndrome

Snapping hip syndrome is a condition in which the predominant symptom is the snapping feelingaround the hip joint caused by a dynamic impingement between muscles or tendons and boneprominences. The etiology of the snapping hip types and consequently the therapeutic targets havebeen subjects of discussion and controversy along the years. A careful clinical history and physicalexamination is frequently enough for this disease diagnosis. Treatment is typically conservative,however when it is not successful surgical treatment is indicated, consisting on the snapping muscleor tendons lengthening. The authors review in this paper the current scientific literature about functionalanatomy, physiopathology, symptoms, diagnosis and treatment of snapping hip.

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