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External coxa saltans (snapping hip) treated with Active Release Techniques: a case report.

Andreo A Spina1

  • 1Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie St, Toronto, Ontario, Canada. aspina@cmcc.ca

The Journal of the Canadian Chiropractic Association
|July 28, 2007
PubMed
Summary

Painful coxa saltans (snapping hip) in athletes can be debilitating. Active Release Techniques (ART) effectively resolved symptoms in a dancer by addressing underlying tissue tension and ITB friction.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Physical Therapy

Background:

  • Painful coxa saltans (snapping hip) is a debilitating condition for athletes, impacting training and performance.
  • The diverse etiologies of snapping hip present diagnostic and management challenges for healthcare providers.
  • Optimal conservative management strategies, particularly manual therapy, remain underexplored.

Purpose of the Study:

  • To present a case of chronic external coxa saltans in a competitive dancer.
  • To discuss the differential diagnosis, management, and rehabilitation of this condition.
  • To evaluate the efficacy of Active Release Techniques (ART) in treating external coxa saltans.

Main Methods:

  • A case study approach was used.
  • The patient was a 16-year-old competitive dancer with chronic external coxa saltans.

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  • Treatment involved Active Release Techniques (ART), focusing on soft tissue mobilization.

    • Main Results:

    • The underlying cause identified was increased tissue tension in the Iliotibial band (ITB) complex.
    • This tension led to friction over the greater trochanter.
    • ART treatment resulted in complete resolution of the athlete's symptoms.

    Conclusions:

    • Active Release Techniques (ART) is a soft tissue treatment that addresses fibrosis and adhesion from repetitive use.
    • ART may be a viable treatment option for external coxa saltans by relieving tissue tension.
    • Complete symptom resolution was achieved in this case, suggesting ART's potential effectiveness.