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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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
Wunderbaldinger P, Bremer C, Schellenberger E et al (2002) Imaging features of iliopsoas bursitis. Eur J Radiol 12:409–415
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
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
Tufo A, Gautam JD, Cox WJ (2012) Psoas syndrome: a frequently missed diagnosis. J Am Osteopath Assoc 112(8):528
Guillin R, Cardinal E, Bureau NJ (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:995–1001
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
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
Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):605
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
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
Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39(6):324–329
Day H et al (2011) Hypermobility and dance: a review. Int J Sports Med 32(7):485–489
Byrd JW (2005) Snapping hip. Oper Tech Sports Med 13:46–54
Idjadi J, Meislin R (2004) Symptomatic snapping hip: targeted treatment for maximum pain relief. Phys Sportsmed 32(1):25–31
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
Wyss J, Patel A (2013) Therapeutic programs for musculoskeletal disorders. Demos Medical Publishing, New York. ISBN 13 978-1-93628-740-6
Noesberger B, Eichenberger AR (1997) Overuse injuries of the hip and snapping hip syndrome. Oper Tech Sports Med 5(3):138–142
Hashimoto BE, Green TM, Wiitala L (1997) Ultrasonographic diagnosis of hip snapping related to iliopsoas tendon. J Ultrasound Med 16:433–435
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
Choi YS, Lee SM et al (2002) Dynamic sonography of external snapping hip syndrome. J Ultrasound Med 21:753
Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):606
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
Guilin G, Cardinal C, Bureau JN (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:999
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
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
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
Zameer H, Hunjun J, Choudur HN (2011) Imaging of the bursae. J Clini Imag Sci 1(1):6
Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):608
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
Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):607
Garala K, Power RA (2013) Iliopsoas tendon reformation after Psoas tendon release. Case Rep Orthop 2:1–4
Reich M, Shannon C, Tsai E, Salata MJ (2013) Hip arthroscopy for extra-articular hip disease. Curr Rev Musculoskelet Med 6(3):250–257
Frizziero A, Trainito S et al (2014) The role of eccentric exercise in sport injuries rehabilitation. Br Med Bull 110(1):47–75
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
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
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
Murtaugh B, Ihm JM (2013) Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep 12:175–182
Grainger AJ, Rowbotham EL (2011) Ultrasound-guided intervention around the hip joint: musculoskeletal imaging – review. Am J Roentgenol 197(1):122–127
Johnston CAM, Wiley JP, Lindsay DM, Wisemand DA (1998) Iliopsoas bursitis and tendinitis: a review. J Sports Med 25(4):271–283
Dimitrios S (2015) Exercise for tendinopathy. World J Methodol 5(2):51–54
Gilliland WR, Murphey MD, Papadoupolos PJ, Zembrzuska H (2012) Iliopsoas bursitis. J Musculoskelet Med 3:53–54
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
Anderson SA, Keene JS (2008) Results of arthroscopic iliopsoas tendon release in competitive recreational athletes. Am J Sports Med 36:2363–2371
Randelli F et al (2012) Intra-articular loose body removal during hip arthroscopy. Orthopedics 3(7):476
Jacobson T, Allen WC (1990) Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 18(5):470–474
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
Van Mechelen W, Hlobil H, Kemper HC; op cit
Meeuwisse WH; op. cit
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights 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)