II. Pathophysiology

  1. Iliopsoas bursa
    1. Between psoas Muscle and femoral head
  2. Bursa irritated by overuse and friction
    1. Tendon rubs against pubic iliopectineal eminence

III. Mechanism: Sports with hip flexor use

  1. Soccer
  2. Ballet
  3. Uphill Running
  4. Hurdling
  5. Jumping

IV. Symptoms

  1. Deep Groin Pain
  2. Pain radiates to anterior hip or thigh
  3. Limp may occur
  4. Snapping Sensation (Iliopsoas Bursitis)
    1. May also occur with Hip Labral Tears, hip subluxation

V. Signs

  1. Difficult to diagnose (delayed often >31 months)
  2. Pain on deep palpation of femoral triangle (iliopsoas musculotendinous junction)
    1. Lateral to femoral nerve
    2. Inferior to inguinal ligament
    3. Medial to sartorius Muscle
  3. Provocative maneuvers
    1. Hip Flexion against resistance
    2. Passive extension of affected hip
    3. Supine patient raises heels off table to 15 degrees
      1. Strains iliopsoas Muscle

VI. Associated Conditions

  1. Snapping Hip Syndrome

VII. Radiology

  1. MRI hip shows fluid adjacent to Muscle

VIII. Management

  1. Conservative management
    1. Relative rest
    2. Hip flexor stretches and strengthening
    3. Hip rotator stretches and strengthening
  2. Image guided Corticosteroid Injection may offer relief
  3. Surgical management rarely indicated

IX. References

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Related Studies

Ontology: Iliopsoas bursitis (C0559240)

Concepts Disease or Syndrome (T047)
SnomedCT 281352004
English bursitis iliopsoas, iliopsoas bursitis, Iliopsoas bursitis, Iliopsoas bursitis (disorder)
Spanish bursitis del psoasilíaco (trastorno), bursitis del psoasilíaco

Ontology: Iliopsoas syndrome (C2609291)

Concepts Disease or Syndrome (T047)
English Iliopsoas syndrome
Spanish Bursitis del iliopsoas
Portuguese Síndrome Iliopsoas
Dutch iliopsoas-syndroom
Italian Sindrome dell'ileo-psoas
French Syndrome de l'iliopsoas
German Iliopsoas-Syndrom
Czech Syndrom tendinitidy oblasti kosti kyčelní a krajiny bederní
Japanese チョウヨウキンショウコウグン, 腸腰筋症候群
Hungarian Iliopsoas syndroma