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Iliopsoas Tendinopathy

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Groin Pain Syndrome

Abstract

Iliopsoas tendinopathy is more commonly found in young people, with prevalence in females.

The incidence of this pathology is more prominent in activities that require repetitive movements of flexion or extra-rotation of the hip joint.

It occurs most frequently as a result of overuse and more rarely is caused by a myotendinous junction lesion.

The pain is located in the groin area, often radiating to the medial thigh region, and it may be coupled by a noise during hip movement (internal snapping hip).

The differential diagnosis should be made with hip intra-articular pathologies, adjacent muscle insertional tendinopathies, and myotendinous lesions.

MRI is the gold standard in the psoas tendinopathy evaluation and is particularly useful in the differential diagnosis.

Most patients benefit from conservative treatment. Rehabilitation treatment is divided into five steps.

It is imperative to perform exercises without pain and progress very gradually.

Surgery is rare in iliopsoas tendinopathies. Surgery consists of a tendon release, mostly endoscopically.

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Authors and Affiliations

  1. Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy

    Gianni Nanni M.D.

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  1. Gianni Nanni M.D.
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Correspondence to Gianni Nanni M.D. .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Maria Cecilia Hospital, GVM Care and Research, Cotignola, Ravenna, Italy

    Raul Zini

  2. Knee Orthopaedic and Sport Traumatology, Humanitas Research Hospital, Rozzano, Milan, Italy

    Piero Volpi

  3. Kinemove Rehabilitation Center, Pontremoli, Massa Carrara, Italy

    Gian Nicola Bisciotti

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Nanni, G. (2017). Iliopsoas Tendinopathy. In: Zini, R., Volpi, P., Bisciotti, G. (eds) Groin Pain Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-41624-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-41624-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41623-6

  • Online ISBN: 978-3-319-41624-3

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