Iliopsoas tendonitis also referred to as snapping hip syndrome, is an inflammation of the iliopsoas tendon or the surrounding area. The iliopsoas is the hip flexor tendon located over the front of the hip socket. The term snapping hip describes the sound made, a snap or click, that occurs with certain hip movements including flexion, extension, and rotation of the hip.
The condition usually occurs due to trauma or overuse from repetitive hip flexion or bending of the hip joint. Iliopsoas tendonitis may be acute or chronic depending on the duration of symptoms.
The common causes of iliopsoas tendonitis include:
These injuries may occur due to activities such as:
The common signs and symptoms of iliopsoas tendonitis include:
Iliopsoas tendonitis is diagnosed through a review of your medical history and a detailed physical examination of your abdomen, hip, and groin.
Your doctor will perform the following:
This test is performed if the cause of your hip or pelvic pain is not quite clear. In this test, your doctor will inject 1% lidocaine into your hip joint, targeting the iliopsoas tendon under ultrasound guidance. If you experience relief from the hip pain this confirms a diagnosis of iliopsoas tendonitis.
Treatment for iliopsoas tendonitis may include:
Surgery for the treatment of iliopsoas tendonitis may involve either a complete release or a partial release of the iliopsoas tendon, meaning that the tendon is either cut completely or partially in order to relieve the pain.
Iliopsoas tendonitis or snapping hip syndrome is a condition caused by inflammation of the iliopsoas tendon or surrounding structures. It is commonly seen in athletes and dancers due to an acute injury or overuse of the hip joint from repetitive movements during sports, exercise, and ballet. Treatment includes stretching exercises, physical therapy, pain relief medications, and corticosteroid injections. Surgery is only recommended for severe cases of psoas tendonitis that do not respond to conservative measures.