Snapping of the Proximal Hamstring Origin: A Rare Cause of Coxa Saltans

Scillia, Anthony J.; Choo, Andrew M.; Milman, Edward; McInerney, Vincent K.; Festa, Anthony

doi:10.2106/jbjs.j.01622

Cited by 19 publications

(19 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this setting, the proximal hamstrings, although detached from the insertion on the ischial tuberosity, remain in close proximity to the tuberosity and can subluxate, resulting in coxa saltans. Painful snapping of the hamstring, or “snapping bottom syndrome,” has been reported previously [5‐7]. In each case, partial rupture of the proximal hamstrings tendons caused painful snapping resulting from medial to lateral and lateral to medial subluxation of the tendons over the ischial tuberosity.…”

Section: Discussionmentioning

confidence: 96%

Atypical Coxa Saltans Due to Partial Proximal Hamstring Avulsion: A Case Presentation Highlighting the Role for Dynamic Sonography

Spencer-Gardner

Pourcho

Smith

et al. 2015

PM&R

View full text Add to dashboard Cite

Painful hip snapping can present as a rare sequela of proximal hamstring injury. We present a case of painful snapping of the conjoint tendon of the semitendinosus and biceps femoris over the ischial tuberosity in the setting of a partial proximal hamstring disruption. Dynamic ultrasonography identified the source of snapping and a persistent attachment of the conjoint tendon to the sacrotuberous ligament, which prevented retraction and allowed subluxation of the tendons across the ischial tuberosity. Following surgical transection of the persistent sacrotuberous ligament attachment to the conjoint tendon and tendon reattachment, the patient's symptoms resolved with full return of function.

show abstract

Section: Discussionmentioning

confidence: 96%

Atypical Coxa Saltans Due to Partial Proximal Hamstring Avulsion: A Case Presentation Highlighting the Role for Dynamic Sonography

Spencer-Gardner

Pourcho

Smith

et al. 2015

PM&R

View full text Add to dashboard Cite

show abstract

“…The symptoms had come on insidiously in a highly active female and were refractory to conservative measures. Rask first described the clinical entity in a 72-year-old housewife who had an insidious onset of pain and snapping over several years (5). He postulated that the mechanism occurs in patients who wear out the attachment of the proximal hamstring origin through a lifetime of hyperflexion hip movements.…”

Section: Discussionmentioning

confidence: 99%

“…Intra-articular snapping is due to lesions within the joint itself (3). Conversely, coxa saltans occurring at the proximal hamstring origin, termed “snapping bottom”, is rare and has only been described in two case reports to date (4, 5). We report a case of coxa saltans occurring due to subluxation of the proximal hamstring origin at the ischial tuberosity which was successfully treated with a mini-open surgical technique.…”

Section: Introductionmentioning

confidence: 99%

A Pain in the Backside: A Case Report of Coxa Saltans Occurring at the Proximal Hamstring Origin

et al. 2014

View full text Add to dashboard Cite

Coxa saltans occurring at the proximal hamstring origin has been rarely reported in the literature. It is better known as occurring at the iliotibial band or the iliopsoas tendon. We report a case of coxa saltans due to subluxation of the origin of the long head of biceps femoris tendon at the ischial tuberosity. This was successfully treated using a mini-open surgical technique. Six weeks postoperatively, the snapping and the associated pain were abolished and the patient was able to resume their participation in athletic activities.

show abstract

“…42,46 Both involve partial tears of the respective tendon snapping across the ischial tuberosity during extremes of hip flexion. 42,46 …”

Section: Snapping Hip Syndromementioning

confidence: 99%

The Running Athlete

Henning

2014

Sports Health

View full text Add to dashboard Cite

Context:Pelvic stress fractures, osteitis pubis, and snapping hip syndrome account for a portion of the overuse injuries that can occur in the running athlete.Evidence Acquisition:PubMed searches were performed for each entity using the following keywords: snapping hip syndrome, coxa sultans, pelvic stress fracture, and osteitis pubis from 2008 to 2013. Topic reviews, case reports, case series, and randomized trials were included for review.Study Design:Clinical review.Level of Evidence:Level 4.Results:Collectively, 188 articles were identified. Of these, 58 were included in this review.Conclusion:Based on the available evidence, the majority of these overuse injuries can be managed non-operatively. Primary treatment should include removal from offending activity, normalizing regional muscle strength/length imbalances and nutritional deficiencies, and mitigating training errors through proper education of the athlete and training staff.Strength of Recommendation Taxonomy:C

show abstract

Snapping of the Proximal Hamstring Origin: A Rare Cause of Coxa Saltans

Cited by 19 publications

References 7 publications

Atypical Coxa Saltans Due to Partial Proximal Hamstring Avulsion: A Case Presentation Highlighting the Role for Dynamic Sonography

Atypical Coxa Saltans Due to Partial Proximal Hamstring Avulsion: A Case Presentation Highlighting the Role for Dynamic Sonography

A Pain in the Backside: A Case Report of Coxa Saltans Occurring at the Proximal Hamstring Origin

The Running Athlete

Contact Info

Product

Resources

About