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Iliopsoas Tendinopathy

  • Andrea FogliaEmail author
  • Achim Veuhoff
  • Cesare Bartolucci
  • Gianni Secchiari
  • Gian Nicola Bisciotti
Chapter
Part of the Sports and Traumatology book series (SPORTS)

Abstract

Iliopsoas tendinopathy represents a ‘grey area’ in the sports-related biomedical literature, from the terminology used to describe it to its aetiopathogenesis, from conservative management to surgical treatment. Not much has been written about it, and the opinions expressed, despite their being ‘evidence based’ in some cases, are often conflicting.

In this chapter, the authors review and synthesise information about the different clinical scenarios of iliopsoas tendinopathy.

The authors propose a ‘best practice’ approach, where daily clinical decisions result from the integration of the health professional’s experience, competence and skill with the use of the best available scientific evidence.

Keywords

Iliopsoas Tendinopathy Conservative treatment 

References

  1. 1.
    Forstner R et al (1998) Sonographic diagnosis of iliopectineal bursitis – a contribution to the differential diagnosis of leg-swelling. Fortschritte auf dem Gebiet der Röntgenstrahlen und der neuen bildgebenden Verfahren 169(4):408–411CrossRefGoogle Scholar
  2. 2.
    Wunderbaldinger P, Bremer C, Schellenberger E et al (2002) Imaging features of iliopsoas bursitis. Eur J Radiol 12:409–415CrossRefGoogle Scholar
  3. 3.
    Bui KL, Ilaslan H, Recht M, Sundaram M (2008) Iliopsoas injury: an MRI study of patterns and prevalence correlated with clinical findings. Skeletal Radiol 37(3):245–249CrossRefPubMedGoogle Scholar
  4. 4.
    Saiko S, Stuber K (2009) Psoas major: a case report and review of its anatomy, biomechanics, and clinical implications. J Can Chiropr Assoc 53(4):311Google Scholar
  5. 5.
    Tufo A, Gautam JD, Cox WJ (2012) Psoas syndrome: a frequently missed diagnosis. J Am Osteopath Assoc 112(8):528CrossRefGoogle Scholar
  6. 6.
    Guillin R, Cardinal E, Bureau NJ (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:995–1001CrossRefGoogle Scholar
  7. 7.
    Winston P, Awan R, Cassicy JD et al (2007) Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Am J Sports Med 35:118–126CrossRefPubMedGoogle Scholar
  8. 8.
    Konczak CR, Ames R (2005) Relief of internal snapping hip syndrome in a marathon runner after chiropractic treatment. J Manipulative Physiol Ther 28(1):67CrossRefGoogle Scholar
  9. 9.
    Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):605CrossRefPubMedGoogle Scholar
  10. 10.
    Alpert JM, Kozanek M, Kelly BT. Three-dimensional anatomical relationship of the iliopsoas and acetabular labrum. Presented in occasion of the 55th Annual Meeting of the Orthopaedic Research SocietyGoogle Scholar
  11. 11.
    Kendra S et al (2013) MR appearance and clinical significance of changes in the hip muscles and iliopsoas tendon after arthroscopic iliopsoas tenotomy in symptomatic patients. HSS J 9:236–241CrossRefGoogle Scholar
  12. 12.
    Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39(6):324–329Google Scholar
  13. 13.
    Day H et al (2011) Hypermobility and dance: a review. Int J Sports Med 32(7):485–489CrossRefPubMedGoogle Scholar
  14. 14.
    Byrd JW (2005) Snapping hip. Oper Tech Sports Med 13:46–54CrossRefGoogle Scholar
  15. 15.
    Idjadi J, Meislin R (2004) Symptomatic snapping hip: targeted treatment for maximum pain relief. Phys Sportsmed 32(1):25–31CrossRefPubMedGoogle Scholar
  16. 16.
    Hakim AJ, Grahame R (2003) A simple questionnaire to detect hypermobility: an adjunct to the assessment of patients with diffuse musculoskeletal pain. Int J Clin Pract 57:163–166PubMedGoogle Scholar
  17. 17.
    Wyss J, Patel A (2013) Therapeutic programs for musculoskeletal disorders. Demos Medical Publishing, New York. ISBN 13 978-1-93628-740-6Google Scholar
  18. 18.
    Noesberger B, Eichenberger AR (1997) Overuse injuries of the hip and snapping hip syndrome. Oper Tech Sports Med 5(3):138–142CrossRefGoogle Scholar
  19. 19.
    Hashimoto BE, Green TM, Wiitala L (1997) Ultrasonographic diagnosis of hip snapping related to iliopsoas tendon. J Ultrasound Med 16:433–435PubMedGoogle Scholar
  20. 20.
    Deslandes M, Guillin R, Cardinal E, Hobden R, Bureau NJ (2008) The snapping iliopsoas tendon: new mechanism using dynamic sonography. Am J Roentgenol 190:576–581CrossRefGoogle Scholar
  21. 21.
    Choi YS, Lee SM et al (2002) Dynamic sonography of external snapping hip syndrome. J Ultrasound Med 21:753PubMedGoogle Scholar
  22. 22.
    Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):606CrossRefGoogle Scholar
  23. 23.
    Newman JS, Adler RS, Bude RO, Rubin JM (1994) Detection of soft-tissue hyperemia: value of power Doppler sonography. Am J Roentgenol 163:385–389CrossRefGoogle Scholar
  24. 24.
    Guilin G, Cardinal C, Bureau JN (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur J Radiol 19:999Google Scholar
  25. 25.
    Tatu L, Parratte B, Vuillier F, Diop M, Monnier G (2001) Descriptive anatomy of the femoral portion of the iliopsoas muscle: anatomical basis of anterior snapping of the hip. J Radiol Anat 23:371–374CrossRefGoogle Scholar
  26. 26.
    Philippon MJ, Devitt BM, Campbell KJ, Michalski MP, Espinoza C, Wijdicks CA (2014) LAPRADE: anatomic variance of the iliopsoas tendon. Am J Sports Med 42(4):807–811CrossRefPubMedGoogle Scholar
  27. 27.
    Di Sante L, Paoloni M et al (2014) Groin pain iliopsoas bursitis: always a cause-effect relationship? J Back Musculoskelet Rehabil 27(1):103–106CrossRefPubMedGoogle Scholar
  28. 28.
    Zameer H, Hunjun J, Choudur HN (2011) Imaging of the bursae. J Clini Imag Sci 1(1):6CrossRefGoogle Scholar
  29. 29.
    Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):608CrossRefGoogle Scholar
  30. 30.
    Piggott RP, Doody O, Quinlan JF (2015) Iliopsoas tendon rupture: a new differential for atraumatic groin pain post-total hip arthroplasty. BMJ Case Rep 2:32Google Scholar
  31. 31.
    Bancroft LW, Blankenbaker DG (2010) Imaging of the tendons about the pelvis. AJR Am J Roentgenol 195(3):607CrossRefGoogle Scholar
  32. 32.
    Garala K, Power RA (2013) Iliopsoas tendon reformation after Psoas tendon release. Case Rep Orthop 2:1–4CrossRefGoogle Scholar
  33. 33.
    Reich M, Shannon C, Tsai E, Salata MJ (2013) Hip arthroscopy for extra-articular hip disease. Curr Rev Musculoskelet Med 6(3):250–257CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Frizziero A, Trainito S et al (2014) The role of eccentric exercise in sport injuries rehabilitation. Br Med Bull 110(1):47–75CrossRefPubMedGoogle Scholar
  35. 35.
    Mehallo CJ, Drezner JA, Bytomski JR (2006) Practical management: nonsteroidal anti-inflammatory drug (NSAID) use in athletic injuries. Clin J Sports Med 16(2):170–174CrossRefGoogle Scholar
  36. 36.
    Whal CJ, Warren RF, Adler RS, Hannafin JA, Hasen B (2004) Internal coxa saltans (snapping hip) as a result of overtraining: a report of 3 cases in professional athletes with a review of causes and the role of ultrasound in early diagnosis and management. Am J Sports Med 32(5):1302–1309CrossRefGoogle Scholar
  37. 37.
    Loew LM, Brosseau L, Tugwell P, et al. (2014) Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database Syst Rev (11):CD003528Google Scholar
  38. 38.
    Murtaugh B, Ihm JM (2013) Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep 12:175–182CrossRefPubMedGoogle Scholar
  39. 39.
    Grainger AJ, Rowbotham EL (2011) Ultrasound-guided intervention around the hip joint: musculoskeletal imaging – review. Am J Roentgenol 197(1):122–127CrossRefGoogle Scholar
  40. 40.
    Johnston CAM, Wiley JP, Lindsay DM, Wisemand DA (1998) Iliopsoas bursitis and tendinitis: a review. J Sports Med 25(4):271–283CrossRefGoogle Scholar
  41. 41.
    Dimitrios S (2015) Exercise for tendinopathy. World J Methodol 5(2):51–54PubMedPubMedCentralGoogle Scholar
  42. 42.
    Gilliland WR, Murphey MD, Papadoupolos PJ, Zembrzuska H (2012) Iliopsoas bursitis. J Musculoskelet Med 3:53–54Google Scholar
  43. 43.
    Bond RP, Snyckers CH (2010) Management of sports overuse injuries of the lower limb: an evidence-based review of the literature. SA Orthopaedic J 9(2):48–58Google Scholar
  44. 44.
    Anderson SA, Keene JS (2008) Results of arthroscopic iliopsoas tendon release in competitive recreational athletes. Am J Sports Med 36:2363–2371CrossRefPubMedGoogle Scholar
  45. 45.
    Randelli F et al (2012) Intra-articular loose body removal during hip arthroscopy. Orthopedics 3(7):476Google Scholar
  46. 46.
    Jacobson T, Allen WC (1990) Surgical correction of the snapping iliopsoas tendon. Am J Sports Med 18(5):470–474CrossRefPubMedGoogle Scholar
  47. 47.
    Ilizaliturri VM et al (2005) Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. J Arthroscopic Related Surg 21(11):1375–1380CrossRefGoogle Scholar
  48. 48.
    Van Mechelen W, Hlobil H, Kemper HC; op citGoogle Scholar
  49. 49.
    Meeuwisse WH; op. citGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Andrea Foglia
    • 1
    Email author
  • Achim Veuhoff
    • 2
  • Cesare Bartolucci
    • 3
  • Gianni Secchiari
    • 4
  • Gian Nicola Bisciotti
    • 5
  1. 1.Sport Rehabilitation DepartmentRiabilita ClinicCivitanova MarcheItaly
  2. 2.Private PracticeBolzanoItaly
  3. 3.Sport and Internal MedicineUniversity of UrbinoUrbinoItaly
  4. 4.Sport Rehabilitation DepartmentRiabilita ClinicCivitanova MarcheItaly
  5. 5.Qatar Orthopaedic and Sport Medicine Hospital, FIFA Center of ExcellenceDohaQatar

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