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Spontaneous iliopsoas tendon rupture: a case report and brief review

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

This report aims to describe the epidemiology, clinical presentation, diagnostic workup, treatment, and rehabilitation, natural course, and possible risk factors of the rare entity spontaneous iliopsoas tendon rupture.

Methods

One case of spontaneous iliopsoas tendon rupture was encountered. The patient was followed during the hospital stay, her journal was later reviewed, and one telephone follow-up after 90 days was performed. Structured reviews of the literature in the PudMed and Micromedex databases were performed.

Results

The patient recovered fully within 6 weeks of conservative treatment with small doses of acetaminophen and opioid. The literature reviews yielded 14 previously reported spontaneous iliopsoas tendon ruptures but no strong evidence regarding possible risk factors.

Conclusion

Spontaneous iliopsoas tendon rupture is a rare event, typically occurring in the elderly female. MRI is generally diagnostic, but signs are also often present on CT scans and sometimes even on plain X-ray. Conservative treatment has an excellent prognosis of full recovery within 6 weeks. The evidence on possible risk factors is scarce and conflicting.

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Acknowledgements

Kristin Krigsman, Clinical Pharmacologist, Ph.D., Region Jönköping, performed the Micromedex searches. Therese Norén, M.D., and Hung Lam, M.D., Department of Radiology, Jönköping, Region Jönköping County, assisted in interpretation of radiologic images. Björn Westerlind, M.D., Ph.D., Department of Geriatrics, Jönköping, Region Jönköping County, and Region Jönköping Drug Committee, provided insightful discussion.

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The author declares no funding.

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Authors and Affiliations

  1. Department of Geriatrics, Region Jönköping County, Jönköping, Sweden

    Joachim Stark

  2. Department of Health, Medicine and Caring, Linköping University, Linköping, Sweden

    Joachim Stark

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  1. Joachim Stark
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Correspondence to Joachim Stark.

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Written informed consent to participate and to publish was obtained from the patient. The report follows the CARE guidelines for case reports [31].

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Stark, J. Spontaneous iliopsoas tendon rupture: a case report and brief review. Arch Orthop Trauma Surg 141, 1633–1637 (2021). https://doi.org/10.1007/s00402-020-03523-2

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  • DOI: https://doi.org/10.1007/s00402-020-03523-2

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