Sports Medicine

, Volume 25, Issue 4, pp 271–283 | Cite as

Iliopsoas Bursitis and Tendinitis

A Review
  • Christopher A. M. Johnston
  • J. Preston Wiley
  • David M. Lindsay
  • David A. Wiseman
Injury Clinic


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.


Adis International Limited Bursitis Tendinitis Iliopsoas Muscle Pelvic Brim 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    McBeath AA. Some common causes of hip pain: physical diagnosis is the key. Postgrad Med 1985; 77 (8): 189–96PubMedGoogle Scholar
  2. 2.
    Finder JG. lliopectineal bursitis. Arch Surg 1938; 36: 519–30CrossRefGoogle Scholar
  3. 3.
    Hucherson DC, Denman FR. Non-infectious iliopectineal bursitis. Am J Surg 1946; 72 (4): 576–9PubMedCrossRefGoogle Scholar
  4. 4.
    O’Connor. Early recognition of iliopectineal bursitis. Surg Gynecol Obstet 1933: 57: 674–84Google Scholar
  5. 5.
    Pećina MM, Bojanić I. Overuse injuries of the musculoskeletal system. Boca Raton: CRC Press, 1993: 143–7Google Scholar
  6. 6.
    Silver SF, Connell DG, Duncan CP. Case report 550. Skeletal Radiol 1989; 18: 327–8PubMedCrossRefGoogle Scholar
  7. 7.
    Schaberg JE, Harper MC, Allen WC. The snapping hip syndrome. Am J Sports Med 1984; 12 (5): 361–5PubMedCrossRefGoogle Scholar
  8. 8.
    Fitzgerald P. The action of the iliopsoas muscle. Ir J Med Sci 1969; 2 (1): 31–3CrossRefGoogle Scholar
  9. 9.
    Chandler SB. The iliopsoas bursa in man. Anat Rec 1934; 58: 235–40CrossRefGoogle Scholar
  10. 10.
    Gatch WD, Green WT. Cysts of the ilio-psoas bursa. Ann Surg 1925; 82: 277–85PubMedCrossRefGoogle Scholar
  11. 11.
    Toohey AK, LaSalle TL, Martinez S, et al. Iliopsoas bursitis: clinical features, radiographic findings, and disease associations. Semin Arthritis Rheum 1990; 20 (1): 41–7PubMedCrossRefGoogle Scholar
  12. 12.
    Harper MC, Schaberg JE, Allen WC. Primary iliopsoas bursography in the diagnosis of disorders of the hip. Clin Orthop 1987; 221: 238–41PubMedGoogle Scholar
  13. 13.
    Jacobson T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 1990; 18 (5): 470–4PubMedCrossRefGoogle Scholar
  14. 14.
    Lyons JC, Peterson LFA. The snapping iliopsoas tendon. Mayo Clin Proc 1984; 59: 327–9PubMedGoogle Scholar
  15. 15.
    Rotini R, Spinozzi C, Ferrari A. Snapping hip: a rare form with internal etiology. Ital J Orthop Traumatol 1991; 17 (2): 283–8PubMedGoogle Scholar
  16. 16.
    Taylor GR, Clarke NMP. Surgical release of the “snapping iliopsoas tendon”. J Bone Joint Surg Br 1995; 77: 881–3PubMedGoogle Scholar
  17. 17.
    Generini S, Matucci-Cerinic M. lliopsoas bursitis in rheumatoid arthritis. Clin Exp Rheumatol 1993; 11: 549–51PubMedGoogle Scholar
  18. 18.
    Pellman E, Kumari S, Greenwald R. Rheumatoid iliopsoas bursitis presenting as unilateral leg edema. J Rheumatol 1986; 13: 197–200PubMedGoogle Scholar
  19. 19.
    Ford MJ, Martynoga AG, Nuki G. Iliopsoas bursitis in rheumatoid arthritis: an unusual cause of leg oedema. Br Med J 1981; 282: 947–8CrossRefGoogle Scholar
  20. 20.
    Goupille P, Anger C, Burdin P, Valat J-P. Iliopsoas bursitis [letter]. J Rheumatol 1990; 17 (11): 1566–7PubMedGoogle Scholar
  21. 21.
    Grindulis KA, McConkey B, Norcross K. lliopsoas bursitis: a surgically correctable cause of lower limb oedema. Practitioner 1982; 226: 1336–7PubMedGoogle Scholar
  22. 22.
    Grindulis KA. Rheumatoid iliopsoas bursitis [letter]. J Rheumatol 1986; 13: 988PubMedGoogle Scholar
  23. 23.
    Helfgoft SM. Unusual features of iliopsoas bursitis [letter]. Arthritis Rheum 1988; 31 (10): 1331–3CrossRefGoogle Scholar
  24. 24.
    Jones PBB, Economou G, Adams JE, et al. lliopsoas bursa presenting as deep vein thrombosis in rheumatoid arthritis. Br J Rheumatol 1993; 32: 832–4PubMedCrossRefGoogle Scholar
  25. 25.
    Letourneau L, Dessureault M, Carette S. Rheumatoid iliopsoas bursitis presenting as unilateral femoral nerve palsy. J Rheumatol 1991; 18 (3): 462–3PubMedGoogle Scholar
  26. 26.
    Wilkinson L, Palmer R. Bilateral iliopsoas bursitis in rheumatoid arthritis [letter]. Br J Rheumatol 1991; 30 (1): 68–9PubMedCrossRefGoogle Scholar
  27. 27.
    Peters JC, Coleman BG, Turner ML, et al. CT evaluation of enlarged iliopsoas bursa. Am J Roentgenol 1980; 135: 392–4Google Scholar
  28. 28.
    Sartoris DJ, Danzig L, Gilula L, et al. Synovial cysts of the hip joint and iliopsoas bursitis: a spectrum of imaging abnormalities. Skeletal Radiol 1985; 14: 85–94PubMedCrossRefGoogle Scholar
  29. 29.
    Staple TW. Arthrographic demonstration of iliopsoas bursa extension of hip joint. Radiology 1972; 102: 515–6PubMedGoogle Scholar
  30. 30.
    Staple TW, Jung D, Mork A. Snapping tendon syndrome: hip tenography with fluoroscopic monitoring. Radiology 1988; 166: 873–4PubMedGoogle Scholar
  31. 31.
    Vaccaro JP, Sauser DD, Beals RK. Iliopsoas bursa imaging: efficacy in depicting abnormal iliopsoas tendon motion in patients with internal snapping hip syndrome. Radiology 1995; 197 (3): 853–6PubMedGoogle Scholar
  32. 32.
    Reid DC. Prevention of hip and knee injuries in ballet dancers. Sports Med 1988; 6: 295–307PubMedCrossRefGoogle Scholar
  33. 33.
    Fredberg U, Hansen LB. Ultrasound in the diagnosis and treatment of iliopsoas tendinitis: a case report. Scand J Med Sci Sports 1995; 5: 369–70PubMedCrossRefGoogle Scholar
  34. 34.
    Mozes M, Papa MZ, Zweig A, et al. Iliopsoas injury in soccer players. Br J Sports Med 1985; 19 (3): 168–70PubMedCrossRefGoogle Scholar
  35. 35.
    Broadhurst N. Iliopsoas tendinitis and bursitis. Aust Fam Physician 1995; 24 (7): 1303PubMedGoogle Scholar
  36. 36.
    Keller C, Leden I, Lidgren L, et al. Anaerobic bacterial coxitis and pseudocystic tumour in rheumatoid arthritis. Scand J Rheumatol 1980; 9: 216–20PubMedCrossRefGoogle Scholar
  37. 37.
    Lavyne MH, Voorhies RM, Coll RH. Femoral neuropathy caused by iliopsoas bursal cyst. J Neurosurg 1982; 56: 584–6PubMedCrossRefGoogle Scholar
  38. 38.
    Watson JD, Oschner SF. Compression of bladder due to “rheumatoid” cysts of hip joint. Am J Roentgenol 1967; 99: 695–6Google Scholar
  39. 39.
    Binek R, Levinsohn EM. Enlarged iliopsoas bursa: an unusual cause of thigh mass and hip pain. Clin Orthop 1987; 224: 158–63PubMedGoogle Scholar
  40. 40.
    Flanagan FL, Sant S, Coughlan RJ, et al. Symptomatic enlarged iliopsoas bursae in the presence of a normal plain hip radiograph. Br J Rheumatol 1995; 34: 365–9PubMedCrossRefGoogle Scholar
  41. 41.
    Meaney JF, Cassar-Pullicino VN, Etherington R, et al. Iliopsoas bursa enlargement. Clin Radiol 1992; 45: 161–8PubMedCrossRefGoogle Scholar
  42. 42.
    Warren R, Kaye JJ, Salvati EA. Arthrographic demonstration of an enlarged iliopsoas bursa complicating osteoarthritis of the hip. J Bone Joint Surg Am 1975; 57: 413–5PubMedGoogle Scholar
  43. 43.
    Hoppenfeld S. Physical examination of the spine and extremities. New York: Appleton-Century-Crofts, 1976Google Scholar
  44. 44.
    White TK, lncavo SJ, Moreland MS. Giant synovial cyst of the hip joint. Orthop Rev 1988; 17: 609–12PubMedGoogle Scholar
  45. 45.
    Janzen DL, Partridge E, Logan PM, et al. The snapping hip: clinical and imaging findings in transient subluxation of the iliopsoas tendon. Can Assoc Radiol J 1996; 47 (3): 202–8PubMedGoogle Scholar
  46. 46.
    Cardinal ’E, Buckwalter KA, Capello MD. Radiology 1996; 198 (2): 521–2PubMedGoogle Scholar
  47. 47.
    Penkava RR. Iliopsoas bursitis demonstrated by computed tomography. Am J Roentgenol 1980; 135: 175–6Google Scholar
  48. 48.
    Shin AY, Morin WD, Gorman JD, et al. The superiority of magnetic resonance imaging in differentiating the cause of hip pain in endurance athletes. Am J Sports Med 1996; 24 (2): 168–76PubMedCrossRefGoogle Scholar
  49. 49.
    Weinreb JC, Cohen JM, Maravilia KR. Iliopsoas muscles: MR study of normal anatomy and disease. Radiology 1985; 156 (2): 435–40PubMedGoogle Scholar

Copyright information

© Adis International Limited 1998

Authors and Affiliations

  • Christopher A. M. Johnston
    • 1
  • J. Preston Wiley
    • 2
  • David M. Lindsay
    • 2
  • David A. Wiseman
    • 3
  1. 1.Faculty of MedicineQueen’s UniversityKingstonCanada
  2. 2.Sport Medicine Centre, Faculty of KinesiologyThe University of CalgaryCalgaryCanada
  3. 3.Department of Radiology, Foothills Hospital and the Faculty of MedicineThe University of CalgaryCalgaryCanada

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