Abstract
Endoscopic Treatment of Iliopsoas Tendinitis after Hip Resurfacing
Highlights
Coxa saltans interna, known as internal snapping hip, presents as groin pain associated with a catching sensation caused by the iliopsoas tendon when bringing from a position of flexed abduction to extended adduction
The third type or internal snapping hip was first described in 1951 [5], which is the focus of this casereport, is the result of three possible situations: either a tendon catching at the iliopectineal eminence, or snapping across the femoral head, or flipping over the iliac muscle when the hip is brought from a flexed-abducted-externally rotated position into extension during athletic activities [6]
It is possible to say that the acetabular implant (Figure 1) is more anteverted comparing o the contralateral side, and we considered this as a possible cause for the clinical iliopsoas tendinitis
Summary
Painful snapping hips are due to external, internal, and intraarticular causes [1,2,3]. The third type or internal snapping hip was first described in 1951 [5], which is the focus of this casereport, is the result of three possible situations: either a tendon catching at the iliopectineal eminence, or snapping across the femoral head, or flipping over the iliac muscle when the hip is brought from a flexed-abducted-externally rotated position into extension during athletic activities [6] This happens mostly during activities of daily living, with the associated pain [7]. Symptomatic individuals with this problem typically report a painful snapping in their hip, localized to the anterior and medial groin area [9] Their pain is usually exacerbated by active hip flexion and activities that require extension of the flexed, abducted, and externally rotated hip. Some will maintain pain, usually being the ones with impingement across the anterior acetabulum, irritation after hip arthroplasty or a refractory tendinitis
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