Name: External Hip Snapping and Ober's Test
Uploaded: 2024-05-31T00:00:00.0000000
Duration: T00H02M58S
Description: External Hip Snapping and Ober's Test

Name: External Hip Snapping and Ober's Test

Description: External Hip Snapping and Ober's Test

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Upload Date: 2024-05-31T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
DR VINAY SINGH: Friends, today, I'm going to show you a typical case of external snapping of the hip. Snapping of the hip can be due to three reasons: it's internal snapping, that is due to iliopsoas; external snapping, due to ITB; and uncommonly, you can have internal snapping due to a problem in the hip, due to labral tear or any kind of loose bodies. External snapping is extremely common.
DR VINAY SINGH: So this patient has got external snapping for almost one year after episode of falling from [a] tree. This is not causing him grief, a lot of pain, but it does bother him when he's walking long distances. It gives him pain and discomfort. So, usually patients tell that when they walk, they hear a click and some people can present that the hip is dislocating or subluxing.
DR VINAY SINGH: It can occasionally feel as if the hip is subluxing or dislocating, but it is the rubbing of the posterior band of the iliotibial band on the greater trochanter that gives the sensation that his hip is moving out. So if I draw this attention, this problem is in his left hip. So, [speaks to the patient] just show us. So you can see this.
DR VINAY SINGH: So he's deliberately.... He is habitual.... He can reproduce this now. It doesn't give him a lot of pain. One important test for this is an Ober test which demonstrates that [the] iliotibial band is extremely tight and how you do the Ober test is, so, that you bend the knee up to 90 degrees. And then you slightly extend the hip and try to adduct it in order to touch the knee.
DR VINAY SINGH: If you presume his knee was here, and if I want to touch it, ...[speaks to the patient].. if I want to touch it, it's so tight there is no way it's going to go down. So this is a positive Ober test for tight iliotibial band. OK, when we talk about treatment of external snapping, this is usually amenable to non-surgical treatment, so physiotherapy can cure most of the cases. However, if they continue to have pain and symptoms, then you need to go for surgical options.
DR VINAY SINGH: A surgical option would be an open procedure or it could be done arthroscopically. I think this patient is complaining of pain and he's finding difficulty in his day-to-day activities. So I'm planning a Z-plasty on him in order to increase the length of ITB. That will take the tension away and hopefully that will take away his snapping. Thank you.

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