External Hip Snapping and Ober's Test

Description

In this informative video, Dr. Vinay Singh discusses a case study on external snapping of the hip, a condition often caused by the iliotibial band (ITB). He explains that this condition can arise from internal snapping due to the iliopsoas muscle or issues related to hip problems such as labral tears. The patient in focus has been experiencing external snapping for nearly a year following a fall, which, while not severely painful, causes discomfort during long walks. Dr. Singh details how patients often describe hearing a click or having a sensation akin to dislocation.



In a live demonstration, he notes the patient's left hip exhibits these snapping symptoms, which seem to stem from the tightness of the iliotibial band. Dr. Singh performs the Ober test to assess the ITB's tightness, confirming a positive result indicative of the condition. The discussion transitions to treatment options, emphasizing that non-surgical interventions like physiotherapy typically prove effective. However, for patients with persistent pain, surgical options, including a Z-plasty, are considered to alleviate tension in the ITB and reduce snapping symptoms. This presentation balances clinical insight with practical examination techniques, aimed at educating both medical professionals and patients.

DOI: 10.1302/3114-230098

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