Iliopsoas Tendinopathy

Introduction[edit | edit source]

Iliopsoas tendinitis describes inflammation of the iliopsoas muscle tendon or inflammation of the area surrounding this tendon. Acute traumatic injury or overuse injury from repetitive hip flexion have been reported to be the two primary causes. Due to the close proximally of the Iliopsoas tendon and the related bursa, inflammation of one of these structures causes inflammation of the other. Therefore, the clinical presentation of iliopsoas tendonitis and iliopsoas bursitis is indistinguishable and both conditions are managed the same.

Functional Anatomy[edit | edit source]

Sport-specific Biomechanics[edit | edit source]

Epidemiology[edit | edit source]

In general, iliopsoas pathologic conditions (including tendinitis, bursitis, snapping and impingement) have been deemed to be the main cause of chronic groin pain in roughly 12-36% of athletes and in 25-30% of athletes with acute injury to the groin region.Â

Data on the prevalence of iliopsoas tendonitis remains unknown however, it more commonly affects young adults and is mildly more prevelant in females

Etiology[edit | edit source]

Clinical Presentation[edit | edit source]

History[edit | edit source]

Physical Examination[edit | edit source]

Differential Diagnoses[edit | edit source]

Workup[edit | edit source]

Laboratory Analysis[edit | edit source]

Medical Imaging[edit | edit source]

  • Radiography
  • Ultrasonography
  • Magnetic Resonance Imaging (MRI)

Lidocaine Injection[edit | edit source]

Management[edit | edit source]

Physical Therapy[edit | edit source]

  • Acute Phase
  • Recovery Phase
  • Maintenance Phase
  • Return to Play

Surgical Intervention[edit | edit source]

Medications[edit | edit source]

Other[edit | edit source]

Complications[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]