Skip to main content
SpringerLink
Log in

Iliopsoas Tendinopathy

  • Chapter
  • First Online:
The Lower Limb Tendinopathies

Part of the book series: Sports and Traumatology ((SPORTS))

  • 1436 Accesses

Abstract

Iliopsoas tendinopathy represents a ‘grey area’ in the sports-related biomedical literature, from the terminology used to describe it to its aetiopathogenesis, from conservative management to surgical treatment. Not much has been written about it, and the opinions expressed, despite their being ‘evidence based’ in some cases, are often conflicting.

In this chapter, the authors review and synthesise information about the different clinical scenarios of iliopsoas tendinopathy.

The authors propose a ‘best practice’ approach, where daily clinical decisions result from the integration of the health professional’s experience, competence and skill with the use of the best available scientific evidence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Forstner R et al (1998) Sonographic diagnosis of iliopectineal bursitis – a contribution to the differential diagnosis of leg-swelling. Fortschritte auf dem Gebiet der Röntgenstrahlen und der neuen bildgebenden Verfahren 169(4):408–411

    Article  CAS  Google Scholar 

  2. Wunderbaldinger P, Bremer C, Schellenberger E et al (2002) Imaging features of iliopsoas bursitis. Eur J Radiol 12:409–415

    Article  CAS  Google Scholar 

  3. Bui KL, Ilaslan H, Recht M, Sundaram M (2008) Iliopsoas injury: an MRI study of patterns and prevalence correlated with clinical findings. Skeletal Radiol 37(3):245–249

    Article  PubMed  Google Scholar 

  4. Saiko S, Stuber K (2009) Psoas major: a case report and review of its anatomy, biomechanics, and clinical implications. J Can Chiropr Assoc 53(4):311

    Google Scholar 

  5. Tufo A, Gautam JD, Cox WJ (2012) Psoas syndrome: a frequently missed diagnosis. J Am Osteopath Assoc 112(8):528

    Article  Google Scholar 

  6. Guillin R, Cardinal E, Bureau NJ (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:995–1001

    Article  Google Scholar 

  7. Winston P, Awan R, Cassicy JD et al (2007) Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Am J Sports Med 35:118–126

    Article  PubMed  Google Scholar 

  8. Konczak CR, Ames R (2005) Relief of internal snapping hip syndrome in a marathon runner after chiropractic treatment. J Manipulative Physiol Ther 28(1):67

    Article  Google Scholar 

  9. Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):605

    Article  PubMed  Google Scholar 

  10. Alpert JM, Kozanek M, Kelly BT. Three-dimensional anatomical relationship of the iliopsoas and acetabular labrum. Presented in occasion of the 55th Annual Meeting of the Orthopaedic Research Society

    Google Scholar 

  11. Kendra S et al (2013) MR appearance and clinical significance of changes in the hip muscles and iliopsoas tendon after arthroscopic iliopsoas tenotomy in symptomatic patients. HSS J 9:236–241

    Article  Google Scholar 

  12. Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39(6):324–329

    Google Scholar 

  13. Day H et al (2011) Hypermobility and dance: a review. Int J Sports Med 32(7):485–489

    Article  CAS  PubMed  Google Scholar 

  14. Byrd JW (2005) Snapping hip. Oper Tech Sports Med 13:46–54

    Article  Google Scholar 

  15. Idjadi J, Meislin R (2004) Symptomatic snapping hip: targeted treatment for maximum pain relief. Phys Sportsmed 32(1):25–31

    Article  PubMed  Google Scholar 

  16. Hakim AJ, Grahame R (2003) A simple questionnaire to detect hypermobility: an adjunct to the assessment of patients with diffuse musculoskeletal pain. Int J Clin Pract 57:163–166

    CAS  PubMed  Google Scholar 

  17. Wyss J, Patel A (2013) Therapeutic programs for musculoskeletal disorders. Demos Medical Publishing, New York. ISBN 13 978-1-93628-740-6

    Google Scholar 

  18. Noesberger B, Eichenberger AR (1997) Overuse injuries of the hip and snapping hip syndrome. Oper Tech Sports Med 5(3):138–142

    Article  Google Scholar 

  19. Hashimoto BE, Green TM, Wiitala L (1997) Ultrasonographic diagnosis of hip snapping related to iliopsoas tendon. J Ultrasound Med 16:433–435

    CAS  PubMed  Google Scholar 

  20. Deslandes M, Guillin R, Cardinal E, Hobden R, Bureau NJ (2008) The snapping iliopsoas tendon: new mechanism using dynamic sonography. Am J Roentgenol 190:576–581

    Article  Google Scholar 

  21. Choi YS, Lee SM et al (2002) Dynamic sonography of external snapping hip syndrome. J Ultrasound Med 21:753

    PubMed  Google Scholar 

  22. Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):606

    Article  Google Scholar 

  23. Newman JS, Adler RS, Bude RO, Rubin JM (1994) Detection of soft-tissue hyperemia: value of power Doppler sonography. Am J Roentgenol 163:385–389

    Article  CAS  Google Scholar 

  24. Guilin G, Cardinal C, Bureau JN (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:999

    Google Scholar 

  25. Tatu L, Parratte B, Vuillier F, Diop M, Monnier G (2001) Descriptive anatomy of the femoral portion of the iliopsoas muscle: anatomical basis of anterior snapping of the hip. J Radiol Anat 23:371–374

    Article  CAS  Google Scholar 

  26. Philippon MJ, Devitt BM, Campbell KJ, Michalski MP, Espinoza C, Wijdicks CA (2014) LAPRADE: anatomic variance of the iliopsoas tendon. Am J Sports Med 42(4):807–811

    Article  PubMed  Google Scholar 

  27. Di Sante L, Paoloni M et al (2014) Groin pain iliopsoas bursitis: always a cause-effect relationship? J Back Musculoskelet Rehabil 27(1):103–106

    Article  PubMed  Google Scholar 

  28. Zameer H, Hunjun J, Choudur HN (2011) Imaging of the bursae. J Clini Imag Sci 1(1):6

    Article  Google Scholar 

  29. Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):608

    Article  Google Scholar 

  30. Piggott RP, Doody O, Quinlan JF (2015) Iliopsoas tendon rupture: a new differential for atraumatic groin pain post-total hip arthroplasty. BMJ Case Rep 2:32

    Google Scholar 

  31. Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):607

    Article  Google Scholar 

  32. Garala K, Power RA (2013) Iliopsoas tendon reformation after Psoas tendon release. Case Rep Orthop 2:1–4

    Article  Google Scholar 

  33. Reich M, Shannon C, Tsai E, Salata MJ (2013) Hip arthroscopy for extra-articular hip disease. Curr Rev Musculoskelet Med 6(3):250–257

    Article  PubMed  PubMed Central  Google Scholar 

  34. Frizziero A, Trainito S et al (2014) The role of eccentric exercise in sport injuries rehabilitation. Br Med Bull 110(1):47–75

    Article  PubMed  Google Scholar 

  35. Mehallo CJ, Drezner JA, Bytomski JR (2006) Practical management: nonsteroidal anti-inflammatory drug (NSAID) use in athletic injuries. Clin J Sports Med 16(2):170–174

    Article  Google Scholar 

  36. Whal CJ, Warren RF, Adler RS, Hannafin JA, Hasen B (2004) Internal coxa saltans (snapping hip) as a result of overtraining: a report of 3 cases in professional athletes with a review of causes and the role of ultrasound in early diagnosis and management. Am J Sports Med 32(5):1302–1309

    Article  Google Scholar 

  37. Loew LM, Brosseau L, Tugwell P, et al. (2014) Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database Syst Rev (11):CD003528

    Google Scholar 

  38. Murtaugh B, Ihm JM (2013) Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep 12:175–182

    Article  PubMed  Google Scholar 

  39. Grainger AJ, Rowbotham EL (2011) Ultrasound-guided intervention around the hip joint: musculoskeletal imaging – review. Am J Roentgenol 197(1):122–127

    Article  Google Scholar 

  40. Johnston CAM, Wiley JP, Lindsay DM, Wisemand DA (1998) Iliopsoas bursitis and tendinitis: a review. J Sports Med 25(4):271–283

    Article  CAS  Google Scholar 

  41. Dimitrios S (2015) Exercise for tendinopathy. World J Methodol 5(2):51–54

    PubMed  PubMed Central  Google Scholar 

  42. Gilliland WR, Murphey MD, Papadoupolos PJ, Zembrzuska H (2012) Iliopsoas bursitis. J Musculoskelet Med 3:53–54

    Google Scholar 

  43. Bond RP, Snyckers CH (2010) Management of sports overuse injuries of the lower limb: an evidence-based review of the literature. SA Orthopaedic J 9(2):48–58

    Google Scholar 

  44. Anderson SA, Keene JS (2008) Results of arthroscopic iliopsoas tendon release in competitive recreational athletes. Am J Sports Med 36:2363–2371

    Article  PubMed  Google Scholar 

  45. Randelli F et al (2012) Intra-articular loose body removal during hip arthroscopy. Orthopedics 3(7):476

    Google Scholar 

  46. Jacobson T, Allen WC (1990) Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 18(5):470–474

    Article  CAS  PubMed  Google Scholar 

  47. Ilizaliturri VM et al (2005) Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. J Arthroscopic Related Surg 21(11):1375–1380

    Article  Google Scholar 

  48. Van Mechelen W, Hlobil H, Kemper HC; op cit

    Google Scholar 

  49. Meeuwisse WH; op. cit

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sport Rehabilitation Department, Riabilita Clinic, Civitanova Marche, Italy

    Andrea Foglia

  2. Private Practice, Bolzano, Italy

    Achim Veuhoff

  3. Sport and Internal Medicine, University of Urbino, Urbino, Italy

    Cesare Bartolucci

  4. Sport Rehabilitation Department, Riabilita Clinic, Civitanova Marche, Italy

    Gianni Secchiari

  5. Qatar Orthopaedic and Sport Medicine Hospital, FIFA Center of Excellence, Doha, Qatar

    Gian Nicola Bisciotti

Authors
  1. Andrea Foglia
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Achim Veuhoff
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Cesare Bartolucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gianni Secchiari
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gian Nicola Bisciotti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andrea Foglia .

Editor information

Editors and Affiliations

  1. Qatar Orthopaedic and Sport Medicine Hospital, Doha , Qatar

    Giannicola Bisciotti

  2. Medical Departement FC. Internazionale, Istituto Clinico Humanitas Milano (Italy), Milano, Italy

    Piero Volpi

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Foglia, A., Veuhoff, A., Bartolucci, C., Secchiari, G., Bisciotti, G.N. (2016). Iliopsoas Tendinopathy. In: Bisciotti, G., Volpi, P. (eds) The Lower Limb Tendinopathies. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-33234-5_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33234-5_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33232-1

  • Online ISBN: 978-3-319-33234-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation