Overuse injuries of the hip and snapping hip syndrome

Repetitive microtrauma is the mechanism of overuse injuries. Stress fractures of the neck of the femur are often diagnosed late when suspected bone scan is mandatory to avoid disastrous displacement. They are classified in transverse unstable fractures, which need internal fixation and compression fractures, which are stable. Pelvic stress fracture occurs mainly in the lower pubic ramus in marathoners during, or a few weeks after, the rare. Diagnosis is made by anteroposterior view or bone scan. After having stopped running they normally heal spontaneously. Ln differential diagnostis we have to consider osteitis pubis which can result from athletic activity. Adductor tendinitis is common in soccer and hockey players. Treatment usually is conservative. At times when groin pain is becoming chronic, surgical tenotomy is indicated. Snapping of the hip may be due to iliotibial snapping or snapping of the iliopsoas muscle. Iliopsoas bursography under fluoroscopy could show a sudden jerking movement in iliopsoas tendon snapping.