Orthopedics Book

Joint dislocation

Cardiovascular Medicine


Iliopsoas Bursitis

Aka: Iliopsoas Bursitis, Internal Snapping Hip, Iliopsoas Strain, Iliopsoas Syndrome, Iliopsoas Tendonitis
  1. See Also
    1. Groin Injuries in Athletes
  2. 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
  3. Mechanism: Sports with hip flexor use
    1. Soccer
    2. Ballet
    3. Uphill Running
    4. Hurdling
    5. Jumping
  4. 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
  5. 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
  6. Associated Conditions
    1. Snapping Hip Syndrome
  7. Radiology
    1. MRI hip shows fluid adjacent to Muscle
  8. 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
  9. References
    1. Schleihauf (2019) Crit Dec Emerg Med 33(5): 19-28
    2. Johnston (1998) Sports Med 25:271-83 [PubMed]
    3. Morelli (2001) Am Fam Physician 64(8):1405-14 [PubMed]

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
Derived from the NIH UMLS (Unified Medical Language System)

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
Derived from the NIH UMLS (Unified Medical Language System)

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