Schaberg J E, Harper M C, Allen W C
Am J Sports Med. 1984 Sep-Oct;12(5):361-5. doi: 10.1177/036354658401200504.
The snapping hip syndrome is a symptom complex characterized by hip pain and an audible snapping of the hip with exercise typically seen in young individuals. "External" and "internal" etiologies have been described, although the "internal" etiology is poorly understood. A clinical, radiographic, and anatomical study of eight patients with this disorder, secondary to an internal etiology, was undertaken to aid in the diagnosis and surgical treatment. Iliopsoas bursography with cineradiography revealed subluxation of the iliopsoas tendon to be an apparent cause of the snapping hip. The anatomy of the hip in relationship to the iliopsoas tendon is defined with the anterior inferior iliac spine, iliopectineal eminence, and lesser trochanter assuming a significant role in the syndrome. An operative approach involving a partial release and lengthening of the iliopsoas tendon, with minimal resection of a lesser trochanteric bony ridge, if involved, is described.
弹响髋综合征是一种以髋部疼痛和运动时髋部可闻及弹响为特征的症状复合体，常见于年轻人。虽然已经描述了“外部”和“内部”病因，但对“内部”病因了解甚少。对8例继发于内部病因的该疾病患者进行了临床、影像学和解剖学研究，以辅助诊断和手术治疗。髂腰肌囊造影及动态放射摄影显示髂腰肌肌腱半脱位是弹响髋的一个明显原因。髋部与髂腰肌肌腱相关的解剖结构以髂前下棘、髂耻隆起和小转子为界定，它们在该综合征中起重要作用。本文描述了一种手术方法，即对髂腰肌肌腱进行部分松解和延长，若小转子骨嵴受累则对其进行最小限度的切除。
