Snapping Hip Syndrome (Groin pain)

• Snapping Hip Syndrome also known as Coxa Saltans
• It is characterized by snapping sensation, and/or audible “snap” or “click” noise, in or around the hip when it is in motion.
• The nature of this condition is typically an overuse injury, with a higher occurrence in activities that involve repetitive hip flexion and extension, such as dance, soccer, gymnastics and running

• Snapping Hip Syndrome is thought to affect up to 10% of the general population.
• It is thought to occur more frequently in females than men, but no any statistical proof to show that gender is the risk factor.
• For most people this condition is simply an annoyance; however, it may result in both pain and weakness interfering functional mobility.

• There are various causes for snapping hip syndrome, which can be further classified as external, internal, or intra-articular in origin.

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External (most common)	gradual onset of snapping or pain located outer surface of the hip. Iliotibial band (or “IT band”) snapping over the greater trochanter of the femur. Sign and symptoms snapping as the patient actively move the hip forward and backward. These patients may describe a sense that the hip is dislocating.
Internal	gradual onset, usually not associated with a traumatic event caused by Iliopsoas tendon snapping over a bony prominence of the pelvis.   Sign and symptoms painful sensation coming from deep within the front of groin as they actively move the hip forward and backward or turning it outward The snapping movement can produce an auditory clunk or click.
Intra-articular (least common)	Usually due to a tear of the cartilage and/or loose body within the hip joint that may also cause the hip to “lock up”.   sudden onset of snapping or clicking from an injury or traumatic event to the hip capsule.  sources of this snapping can come from intracapsular lesions, loose bodies settling in the acetabular fovea or synovial folds, a torn acetabular labrum, synovial chondromatosis, or a history of habitual hip dislocation in children or idiopathic recurrent subluxation.