Rick Said:

snapping hip syndrome...psoas release surgery good or bad idea?

We Answered:

Hi there, sorry to hear you are having such problems, hip injuries are nasty and I do hope you feel better soon.
The previous answer was not correct in saying the psoas cannot cause snapping hip. The iliopsoas tendon can snap over the iliopectineal eminence causing 'internal snapping hip' as opposed to the 'external snapping hip' of the IT band snapping over the greater trochanter.
Another thing I think you should consider is that 'bump' you talk about. You should see an orthopaedic HIP specialist, not just a regular OS as they are more experienced with picking up things that regular OS aren't quite as knowledgable about yet, such as hip impingement and labral tears. They should be sending you for an MRI Arthrogram to rule out other issues. Your bump sounds as if it could be what is called a 'cam impingement' which can in turn cause a labral tear in the socket that causes a snapping sensation as well. The labrum is a fibrocartillage that surrounds the socket to add as a seal for the fluid in there and to provide depth to the socket. When it is torn, a flap of the tear can get 'caught' in the joint causing pain and snapping.
I have this problem myself and had hip arthroscopy to debride my tear in June last year. However it now appears that the underlying cause, a possible impingement was not addressed so i am still having problems. Please take a look at my homepage as I have written my whole story there and kept a blog. There are a lot of support groups and other blogs that I have linked to as well.
Good luck and I hope you feel better soon! If you want to do more research on this, just do a google search for Femoroacetabular impingement (FAI) or hip labral tear.

Jess
www.jessmcb.com


Oops...after all that I just read about your arthrogram at the bottom lol...keep in mind though that these tests aren't always 100% accurate and if you continue to have symptoms a second opinion and/or test may be needed.