Injury Clinic

Sports Medicine

, Volume 25, Issue 4, pp 271-283

Iliopsoas Bursitis and Tendinitis

A Review
  • Christopher A. M. JohnstonAffiliated withFaculty of Medicine, Queen’s University
  • , J. Preston WileyAffiliated withSport Medicine Centre, Faculty of Kinesiology, The University of Calgary
  • , David M. LindsayAffiliated withSport Medicine Centre, Faculty of Kinesiology, The University of Calgary
  • , David A. WisemanAffiliated withDepartment of Radiology, Foothills Hospital and the Faculty of Medicine, The University of Calgary

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Summary

This review examines the diagnosis and management of iliopsoas bursitis and/or tendinitis. It is a relatively uncommon and unrecognised cause of anterior hip pain and anterior snapping hip. In view of its pathology, iliopsoas bursitis might be better referred to as iliopsoas syndrome. It can usually be diagnosed by history and physical examination, though real time ultrasound may be useful in confirming the diagnosis. Magnetic resonance and computerised tomography imaging have limited roles in its diagnosis, but may identify other pathology or surgical lesions. Nonoperative management has not been well established. Surgical management does not guarantee treatment success. There is a need for further research into both diagnostic and treatment options for those patients with iliopsoas bursitis/tendinitis.