106 results match your criteria Iliopsoas Tendinitis

Diagnosis and Treatment of Musculotendinous Deficiencies of the Hip.

J Arthroplasty 2022 Mar 11. Epub 2022 Mar 11.

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN.

Musculotendinous deficiencies related to iliopsoas tendinitis and abductor mechanism disruption following total hip arthroplasty (THA) are frequently under diagnosed and can be frustrating to surgeons and devastating to patients with painful THAs with normal appearing radiographs. Current peer-reviewed evidence is presented for diagnosis and treatment options for these two musculotendinous deficiencies. While these musculotendinous deficiencies are treatable, prevention during the primary THA is ideal, and special attention should be taken into consideration for optimized acetabular cup size and position, optimized hip biomechanics, and preservation and protection of the abductor tendon insertion to the greater trochanter. Read More

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Joint Hypermobility Is Associated With Increased Risk of Postoperative Iliopsoas Tendinitis After Hip Arthroscopy for Femoroacetabular Impingement.

Arthroscopy 2022 Feb 25. Epub 2022 Feb 25.

Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York, U.S.A.

Purpose: To determine whether increased joint hypermobility, quantified by the Beighton score, is associated with a greater incidence of iliopsoas tendinitis (IPT) in postoperative hip arthroscopy patients treated for femoroacetabular impingement (FAI).

Methods: We conducted a retrospective chart review of patients who underwent hip arthroscopy for labral repair and FAI from 2016 to 2020 for whom at least 12 months of follow-up data were available. The Beighton score was measured by a blinded, independent reviewer. Read More

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February 2022

Ultrasound-Guided Musculoskeletal Injections.

Semin Musculoskelet Radiol 2021 Dec 22;25(6):769-784. Epub 2021 Dec 22.

Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Musculoskeletal injections serve a variety of diagnostic and therapeutic purposes, with ultrasonography (US) guidance having many advantages: no ionizing radiation, real-time guidance, high spatial resolution, excellent soft tissue contrast, and the ability to identify and avoid critical structures. Sonography can be cost effective and afford flexibility in resource-constrained settings. This article describes US-guided musculoskeletal injections relevant to many radiology practices and provides experience-based suggestions. Read More

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December 2021

A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain.

Cureus 2021 Jun 17;13(6):e15719. Epub 2021 Jun 17.

Pain Management-Physiotherapy, Interdisciplinary Pain Management Clinic, Tripler Army Medical Center, Honolulu, USA.

Pain related to pregnancy can occur anytime between conception to the postpartum period. Pregnancy and the following months after birth are a time of physical change to the woman's body, with significant hormonal effects. We present a case of a young female with chronic pain several years after her second pregnancy that presented a diagnostic challenge. Read More

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Editorial Commentary: The Cause of Groin Pain Is Difficult to Determine: The Elusive "Nether-Nether Region".

Arthroscopy 2021 04;37(4):1179-1181

As one of the many causes of groin pain, iliopsoas tendinitis can be hard to identify and even harder to treat. It occurs in the setting of both the native hip joint and following total hip arthroplasty. Internal snapping, or coxa saltans, can result from the iliopsoas snapping over the anterior hip capsule or iliopectineal eminence and can be a source of labral pathology. Read More

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Endoscopic Tenotomy for Iliopsoas Tendinopathy Following Total Hip Arthroplasty Can Relieve Pain Regardless of Acetabular Cup Overhang or Anteversion.

Arthroscopy 2021 09 31;37(9):2820-2829. Epub 2021 Mar 31.

Hip Surgery Unit, Hospital Israelita Albert Einstein, São Paulo - SP, Brazil; Lyon Ortho Clinic, Lyon, France.

Purpose: To report outcomes of endoscopic iliopsoas tenotomy (EIT) in patients with iliopsoas tendinopathy following total hip arthroplasty (THA) and determine whether improvements in clinical scores are associated with acetabular cup anteversion measured on plain radiographs or overhang measured using established and alternative computed tomography (CT)-based methods.

Methods: We evaluated patients who underwent EIT for iliopsoas tendinopathy after THA (2014-2017), performed between the lesser trochanter and psoas valley. Indications were groin pain during active hip flexion, exclusion of other complications, and no pain relief after 6 months of conservative treatment. Read More

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September 2021

The Limited Reliability of Physical Examination and Imaging for Diagnosis of Iliopsoas Tendinitis.

Arthroscopy 2021 04 17;37(4):1170-1178. Epub 2020 Dec 17.

Department of Radiology, NYU Langone Health, New York, New York, U.S.A.

Purpose: To determine if any association exists between physical examination, imaging findings [ultrasound (US) and magnetic resonance imaging (MRI)], and iliopsoas tendinitis (IPT) to characterize the reliability of these diagnostic modalities.

Methods: Patients who had undergone US-guided iliopsoas tendon sheath injection (of lidocaine and a corticosteroid agent) as well as MRI performed within 1 year of injection from 2014 to 2019 were retrospectively reviewed. Demographic data, response to physical exam maneuvers, and response to injection were queried from patient records. Read More

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Effectiveness of 18F-fluoro-deoxyglucose Positron Emission Tomography/Computed Tomography and Magnetic Resonance Imaging to Detect Iliopsoas Tendonitis after Total Hip Arthroplasty: A Case Report.

Hip Pelvis 2020 Dec 3;32(4):223-229. Epub 2020 Dec 3.

Department of Orthopaedic Surgery, Faculty of Medicine, Oita University, Yufu City, Japan.

Disorders involving artificial joints are difficult to evaluate due to metal artifacts hindering plain computed tomography (CT) or magnetic resonance imaging (MRI). In the current case study 18F-fluoro-deoxyglucose positron emission tomography (18F-FDG-PET)/CT and MRI were used to confirm iliopsoas tendonitis within the metal artifact area following total hip arthroplasty (THA). The patient was a 61-year-old woman who developed hip pain on flexion of the ipsilateral hip after THA. Read More

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December 2020

Arthroscopic treatment of iliopsoas tendinitis after total hip arthroplasty with acetabular cup malposition: Two case reports.

World J Clin Cases 2020 Nov;8(21):5326-5333

Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-Gu, Daegu 41944, South Korea.

Background: Optimal treatment for iliopsoas tendinitis after total hip arthroplasty (THA) with cup malposition, iliopsoas release alone or with cup revision, is controversial, particularly in young, active patients. Moreover, arthroscopic iliopsoas tendon (IPT) release in these patients has been rarely described, and midterm effects of this procedure on THA longevity and groin pain recurrence remain unclear. We performed arthroscopic IPT release after THA and report midterm outcomes in two young patients with acetabular cup malposition. Read More

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November 2020

Low Back Pain Caused by Iliopsoas Tendinopathy Treated with Ultrasound-Guided Local Injection of Anesthetic and Steroid: A Retrospective Study.

J Pain Res 2020 20;13:3023-3029. Epub 2020 Nov 20.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Background: Low back pain is a prevalent symptom that occurs in all age of people, whereas the pathogenesis is unknown. Iliopsoas tendinopathy is an increasingly recognized hip disorder that may contribute to low back pain. Our purpose is to evaluate the effect of ultrasound-guided local injection of anesthetic and steroid into the trigger point of iliopsoas tendon in treating low back pain caused by iliopsoas tendinopathy. Read More

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November 2020

Anterior dislocation of THA after Iliopsoas tenotomy in spinopelvic imbalance: a rare case report.

BMC Musculoskelet Disord 2020 Nov 7;21(1):723. Epub 2020 Nov 7.

Premier Hip Arthroscopy, Marina Del Rey, CA, USA.

Background: Iliopsoas impingement is a complication of total hip arthroplasty that often manifests as groin pain during initial hip flexion. However, there are no reports of mechanical complications after iliopsoas tenotomy following total hip arthroplasty (THA).

Case Presentation: We present the case of a 64-year-old woman with degenerative lumbar kyphosis who developed anterior hip dislocations after arthroscopic iliopsoas tenotomy for anterior impingement following THA. Read More

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November 2020

Female Athlete Hip Injuries: A Narrative Review.

Clin J Sport Med 2022 01;32(1):62-71

Department of PM&R, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts; and.

Objective: In this narrative review, we highlight sex-specific anatomic and biomechanical features of the hip region in female athletes, as well as the potential impact of these characteristics on observed disparities in both intra-articular and extra-articular injury patterns between female and male athletes. It is our goal to broaden the scope of knowledge related to hip pathology in active female athletes among sports medicine providers with the hope of better optimizing sport participation and performance in female athletes.

Data Sources: A literature review was conducted using PubMed database and Google Scholar search engine. Read More

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January 2022

A Clinician's Guide to Femoacetabular Impingement in Athletes.

R I Med J (2013) 2020 Sep 1;103(7):41-48. Epub 2020 Sep 1.

Director of the Hip Preservation Institute, University Orthopedics, Inc., Sports Medicine Division; Assistant Professor of Orthopedics, Warren Alpert Medical School of Brown University, Providence, RI.

Femoroacetabular impingement (FAI) is the most common cause of hip pain in both professional and recreational athletes. It is caused by abnormal bone development on both the acetabulum and proximal femur as a result of genetic factors and in reaction to high-volume athletics participation. Athletes typically become symptomatic after reaching skeletal maturity and commonly describe deep groin pain that worsens with activities such as squatting, cutting, or pivoting motions. Read More

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September 2020

Physical therapy management of a patient with persistent groin pain after total hip arthroplasty and iliopsoas tenotomy: a case report.

Seth Peterson

Physiother Theory Pract 2022 Mar 16;38(3):481-491. Epub 2020 Jun 16.

Physical Therapy, The Motive, Oro Valley, AZ, USA.

: Hip impingement syndrome can occur after total hip arthroplasty (THA). Nonoperative treatment is inconsistently recommended, and surgical options include iliopsoas tenotomy. The current case report describes the unique case of a patient with persistent groin pain after THA and iliopsoas tenotomy. Read More

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The incidence and pattern of iliopsoas tendinitis following hip arthroscopy.

Hip Int 2021 Jul 24;31(4):542-547. Epub 2020 Feb 24.

Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA.

Background: Iliopsoas tendinitis is a known source of extra-articular hip pain and it has been shown to be a common cause of continued hip pain following total hip arthroplasty. While iliopsoas tendinitis after hip arthroscopy is a well-known phenomenon amongst hip arthroscopists, its presentation, course, and treatment has yet to be elucidated.

Methods: An IRB-approved chart review was performed of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) between March 2015 and July 2017. Read More

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Outside-in arthroscopic psoas release for anterior iliopsoas impingement after primary total hip arthroplasty.

Hip Int 2021 Sep 25;31(5):649-655. Epub 2020 Feb 25.

Department of Orthopaedic Surgery and Trauma, Donostia Universitary Hospital, San Sebastián, Spain.

Purpose: 1 of the causes of groin pain after total hip arthroplasty (THA) is impingement of the iliopsoas tendon. The purpose of this study was to present our results with outside-in arthroscopic tenotomy for iliopsoas impingement after THA.

Methods: We retrospectively reviewed 12 patients treated between 2009 and 2016 with a minimum follow-up of 2 years. Read More

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September 2021

Iliopsoas Release: A Systematic Review of Clinical Efficacy and Associated Complications.

Clin J Sport Med 2021 11;31(6):522-529

Fowler Kennedy Sport Medicine Clinic, Department of Surgery, Western University, London, ON, Canada.

Objective: To perform a systematic review of the findings of iliopsoas release as it relates to resolution of snapping, improvement of groin pain, and associated complications.

Design: Systematic review.

Data Sources: Four electronic databases PubMed/MEDLINE, EMBASE, CINAHL, and Web of Science were searched, identifying all literature pertaining to surgical treatment of a snapping hip/coxa saltans, iliopsoas impingement, or iliopsoas tendinitis. Read More

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November 2021

US-guided Musculoskeletal Interventions in the Hip with MRI and US Correlation.

Radiographics 2020 Jan-Feb;40(1):181-199. Epub 2019 Nov 22.

From the Department of Radiology, University of British Columbia, Royal Columbian Hospital, 300 Columbia St E, New Westminster, BC, Canada V3L 3W7 (J.I.B.); Department of Radiology and Imaging Sciences, University of Utah School of Medicine, Salt Lake City, Utah (B.Y.C.); and Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (P.M., K.S.L.).

Hip pain is a commonly reported primary symptom with many potential causes. The causal entity can remain elusive, even after clinical history review, physical examination, and diagnostic imaging. Although there are many options for definitive treatment, many of these procedures are invasive, are associated with risk of morbidity, and can be unsuccessful, with lengthy revision surgery required. Read More

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February 2021

Arthroscopic Diagnosis and Treatment of Chronic Hip Pain After Total Hip Arthroplasty and the Role of Anterior Capsule Disruption in Iliopsoas Tendinopathy.

Orthop J Sports Med 2019 Jun 27;7(6):2325967119854362. Epub 2019 Jun 27.

Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.

Background: The use of hip arthroscopic surgery in patients suffering from chronic hip pain after total hip arthroplasty (THA) has a limited presence in the literature, with most studies having limited follow-up.

Purpose: The first goal of this study was to evaluate hip arthroscopic surgery in the diagnosis and management of patients with chronic hip pain after THA. The second goal was to describe a new cause of iliopsoas tendinopathy (IPT) involving disruption of the anterior capsule. Read More

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Long-standing groin pain in contact sports: a prospective case-control and MRI study.

BMJ Open Sport Exerc Med 2019 19;5(1):e000507. Epub 2019 Mar 19.

Department of Radiology, Rigshospitalet, Copenhagen, Denmark.

Objectives: We aimed to prospectively evaluate the prevalence of long-standing groin pain and related MRI findings in contact sports.

Methods: This case-control study followed three male elite-level soccer, ice-hockey and bandy teams (102 players) for 2 years. All athletes with long-standing groin pain lasting >30 days and age-matched controls (1:3) from the same teams were examined clinically, using pelvic MRI and Hip and Groin Outcome Scores (HAGOS). Read More

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Tilt-adjusted Cup Anteversion in Patients with Severe Backward Pelvic Tilt is Associated with the Risk of Iliopsoas Impingement: A Three-dimensional Implantation Simulation.

Clin Orthop Relat Res 2019 Oct;477(10):2243-2254

T. Ueno, T. Kabata, Y. Kajino, T. Ohmori, J. Yoshitani, K. Ueoka, H. Tsuchiya, Department of Orthopedic Surgery Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan.

Background: Anterior overhang of the acetabular component is associated with iliopsoas impingement, which may cause groin pain and functional limitations after THA. However, little is known about the relationship between component overhang and functional alignment of the acetabular component. CT-based image simulation may be illuminating in learning more about this because CT images are more effective than radiographs for evaluating the component's overhang and position. Read More

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October 2019

Iliopsoas tendonitis following total hip replacement in highly dysplastic hips: a retrospective study.

J Orthop Surg Res 2019 May 22;14(1):145. Epub 2019 May 22.

Department of Orthopaedics, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Building 8, No.1665, Kongjiang Road, Shanghai, 200092, China.

Background: As a recognized cause of groin pain following total hip arthroplasty, iliopsoas tendonitis probably results from different factors. Given the anatomic disadvantage, dysplastic hips theoretically make acetabular component relatively retroverted or oversized, screws implanted frequently, and iliopsoas tendonitis more likely. However, the prevalence and mechanism of iliopsoas tendonitis following total hip replacement in dysplastic hips are not fully understood. Read More

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Principles of diagnostic sonography in iliopsoas tendon pathology: A case report.

J Bodyw Mov Ther 2019 Apr 21;23(2):352-358. Epub 2019 Feb 21.

Ascent Physical Therapy Specialists, Bloomfield Hills, MI, USA.

This article describes the diagnostic value of musculoskeletal sonography in the management of tendon pathology and outlines a clinical example of its scope of utilization. Herein we describe the case of a 65-year-old man who sought rehabilitation services for left groin pain following a period of intense trekking and uphill walking. He presented with left hip flexor weakness and local tenderness over the left iliopsoas tendon with negative findings on neurological evaluation. Read More

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Painful Hip Arthroplasty: What Should We Find? Diagnostic Approach and Results.

J Arthroplasty 2019 Aug 13;34(8):1802-1807. Epub 2019 Apr 13.

Midwest Orthopaedics at Rush, Central Dupage Hospital, Chicago, IL.

Introduction: Identifying the source of pain is paramount for determining appropriate treatment and ensuring successful outcome in terms of management and relief of pain. The difficulty is that each surgeon has his or her own way of seeing the problem, and there is no consensus for the evaluation of these patients. The study hypothesis was that it is possible to find the cause of the pain in most cases. Read More

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Arthroscopic treatment of iliopsoas impingement syndrome after hip arthroplasty.

Acta Biomed 2019 01 10;90(1-S):104-109. Epub 2019 Jan 10.

clinic of orthopaedics, University Hospital of Udine.

Background And Aim Of The Work: Groin pain after hip arthroplasty (HA) ranges from 0.4% to 18.3%. Read More

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January 2019

Arthroscopic techniques for treating ilio-psoas tendinopathy after hip arthroplasty.

Olivier May

Orthop Traumatol Surg Res 2019 02 13;105(1S):S177-S185. Epub 2018 Dec 13.

Médipôle Garonne, 45, rue de Gironis, 31300 Toulouse, France. Electronic address:

Impingement of hip arthroplasty components on soft tissues may adversely affect outcomes. An example is impingement of the cup on the ilio-psoas tendon, which has been reported in 0.4% to 8. Read More

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February 2019

Short-term Effect of Ultrasound-Guided Iliopsoas Peritendinous Corticosteroid Injection.

J Ultrasound Med 2019 Jun 31;38(6):1527-1536. Epub 2018 Oct 31.

Departments of Orthopedics, Division of Sports Medicine.

Objectives: Treatment for iliopsoas tendinopathy includes ultrasound (US)-guided iliopsoas peritendinous corticosteroid injection. Evidence is lacking regarding US-guided iliopsoas injection efficacy in patients with iliopsoas tendinopathy and intra-articular (IA) hip abnormalities. The purpose of this study was to examine the efficacy of US-guided iliopsoas corticosteroid injection for iliopsoas tendinopathy in patients with and without IA hip abnormalities. Read More

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Iliopsoas snapping hip: improving the diagnostic value of magnetic resonance imaging with a novel parameter.

Skeletal Radiol 2019 Jun 2;48(6):889-896. Epub 2018 Oct 2.

Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA.

Objective: To illustrate an advanced imaging parameter that describes the course of the iliopsoas tendon, and evaluate its correlations with iliopsoas internal hip snapping syndrome.

Methods: This retrospective cohort study reviewed hip MRI images of all patients seen by a single surgeon between January 2015 and March 2016. The comparison group included all patients with clinical internal hip snapping, versus the control group that did not. Read More

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Risk Factors and Cup Protrusion Thresholds for Symptomatic Iliopsoas Impingement After Total Hip Arthroplasty: A Retrospective Case-Control Study.

J Arthroplasty 2018 10 17;33(10):3288-3296.e1. Epub 2018 May 17.

Department of Orthopedic Surgery Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan.

Background: Groin pain and functional limitations may occur after total hip arthroplasty (THA) due to iliopsoas impingement (IPI). We aimed to determine the risk factors and thresholds of cup protrusion for symptomatic IPI.

Methods: This retrospective case-control study evaluated 569 primary THAs performed by a single surgeon in a single center. Read More

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October 2018