Question:

What is the treatment of choice for the external snapping hip in the refractory cases?
1. Stretching exercises.
2. Non-steroidal anti-inflammatory drugs (NSAIDs).
3. Corticosteroid injections.
4. Surgery.
5. Rest.





Answer:

The correct answer for the question "What is the treatment of choice for the external snapping hip in the refractory cases?" is:

4. Surgery.



Explanation
A. Stretching exercises [First line therapy is based on rest, stretching, anti-inflammatory medications and injections into the throcanteric bursa. Surgical treatment is reserved for cases refractory to medical therapy].

B. Non-steroidal anti-inflammatory drugs (NSAIDs) [First line therapy is based on rest, stretching, anti-inflammatory medications and injections into the throcanteric bursa. Surgical treatment is reserved for cases refractory to medical therapy].

C. Corticosteroid injections [First line therapy is based on rest, stretching, anti-inflammatory medications and injections into the throcanteric bursa. Surgical treatment is reserved for cases refractory to medical therapy].

D. Surgery [Surgical treatment is reserved for cases refractory to medical therapy].

E. Rest [First line therapy is based on rest, stretching, anti-inflammatory medications and injections into the throcanteric bursa. Surgical treatment is reserved for cases refractory to medical therapy].



From the manuscript:
An unusual cause of external snapping hip
Radiology Case. 2011 Oct; 5(10):1-6


This article belongs to the MSK section.




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From the manuscript

An unusual cause of external snapping hip

Free full text article: An unusual cause of external snapping hip

Abstract
The external snapping hip syndrome is a condition characterized by palpable or audible snap on the lateral region of the hip occurring during movements and sometimes associated with pain. It is typical of young adults and athletes and can be favored by the abnormal sliding of the iliotibial band or of the gluteus maximus muscle over the greater trochanter. We present a case of external snapping hip syndrome occurring in a young woman secondary to a dysmorphic sickle-shaped myotendinous junction of the gluteus maximus muscle. Diagnosis was allowed by an integrated clinical and radiological approach, based on dynamic ultrasound and magnetic resonance imaging (MRI).






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