Abstract
The anatomy of the iliopsoas is complex, extending from the lumbar fossa to the upper thigh. Traumatic lesions of this muscle are rare and often misunderstood. Team sports and canoeing are the activities that most commonly produce traumas of the psoas. The lesions are to be found in three highly distinct locations. Lesions of the fleshy body lead to a noisy clinical picture with large hematoma. Injuries to the myotendinous junction are often small in size, resulting in very late diagnosis. Low disinsertions usually occur in older athletes. They are immediately disabling. Ultrasound or MRI scans will confirm the diagnosis at an early stage. Medical and functional treatment is the rule, except when there is a compressive hematoma or displaced avulsion of the lesser trochanter, in which case surgery may be considered.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Alpert JM, Kozanek M, Li G, Kelly BT, Asnis PD. Cross-sectional analysis of the iliopsoas tendon and its relationship to the acetabular labrum: an anatomic study. Am J Sports Med. 2009;37(8):1594–8. doi:10.1177/0363546509332817.
Rouvière H. Anatomie Humaine. Paris: Masson; 1979 ; T.3:339–341 et 453–462.
Tatu L, Parratte B, Vuillier F, Diop M, Monnier G. Descriptive anatomy of the femoral portion of the iliopsoas muscle. Anatomical basis of anterior snapping of the hip. Surg Radiol Anat. 2001;23(6):371–4.
Lecocq J et al. Kyste synovial et bursite du psoas. In: Hérisson C, Rodineau J, editors. Bursites et pathologie des bourses séreuses. Montpellier: Sauramps médical; 2001. p. 104–8.
Railhac JJ et al. Imagerie des hanches à ressaut. Rev Rhum. 1998;65:147s–9s.
Bouchet T, Costet H, Daubinet G. L’imagerie de la hanche en traumatologie sportive récente. In: Rodineau J, Saillant G. Quelle imagerie pour quel diagnostic?. Ciba-Geigy; 1995. p. 82–98.
Freire V, Bureau NJ, Deslandes M, Moser T. Iliopsoas tendon tear: clinical and imaging findings in 4 elderly patients. Can Assoc Radiol J. 2012;pii: S0846-5371(12):00051–4.
Giaconi JC, Ries MD, Steinbach LS. Stun gun induced myotendinous injury of the iliopsoas and gluteus minimus. Skeletal Radiol. 2011;40(6):783–7.
Bui KL, Ilaslan H, Recht M, Sundaram M. Iliopsoas injury: an MRI study of patterns and prevalence correlated with clinical findings. Skeletal Radiol. 2008;37(3):245–9.
Anderson SA, Keene JS. Results of arthroscopic iliopsoas tendon release in competitive and recreational athletes. Am J Sports Med. 2008;36(12):2363–71 . Epub 2008 Aug 12.
Deslandes M, Guillin R, Cardinal E, Hobden R, Bureau NJ. The snapping iliopsoas tendon: new mechanisms using dynamic sonography. AJR Am J Roentgenol. 2008;190(3):576–81.
Bui KL, Ilaslan H, Recht M, Sundaram M. Iliopsoas injury: an MRI study of patterns and prevalence correlated with clinical findings. Skeletal Radiol. 2008;37(3):245–9 . Epub 2007 Nov 20.
Petropoulos AS, Sferopoulos NK. Myosite ossifiante post-traumatique du muscle psoas iliaque. Rev Chir Orthop Reparatrice Appar Mot. 1997;83(8):747–51.
Laffond J, Bouvard M, Lippa A, Tassery F, Roger B. les lésions de la jonction myotendineuse du psoas-iliaque en traumatologie du sport. J.Traumtol.Sport. 2012;29(3):139–44.
Courroy JB. Le Bassin. In: Rodineau J, Saillant G, editors. Micro-traumatismes et Trau-matismes du sport chez l'enfant. Masson: Paris; 1999. p. 97–114.
Parier J, Demarais J. Thelen, La pathologie de l’ilio-psoas, Congrès « sport et appareil locomoteur » XXIème journée de Bichat. 2008.
Kouvalchouk JF’, Durey A, Les Ressauts antérieurs de hanche, Traumatol Sport, 1989; 6:171–176.
Druckel J, Walter JP. Pathologie musculaire et échographie en dehors des tumeurs. Ann Radiol. 1985;28:9–13.
Lee JKT, Glaser HS. Psoas muscle disorders, MR imaging. Radiology. 1984;153:181–8.
Charleux F. Imagerie par résonance magnétique du muscle psoas-iliaque. Paris VI: Thèse Mé decine; 1989.
Railhac JJ et al. Hanches à ressaut antéro-interne. Rev Imagerie Med. 1990;10:10–7.
Bischop D et al. Les Syndromes canalaires. Paris: Masson; 1997.
Johnston C et al. Treatment of iliopsoas syndrome with a hip rotation strengthening program. Orthop Sports Phys Ther. 1999;29:218–24.
Rodineau J. Evaluation clinique des lésions musculaires récentes et essai de classification. Sport Med 1997;73:287–90.
Sajko S, Stuber K. Psoas Major: a case report and review of its anatomy, biomechanics, and clinical implications. J Can Chiropr Assoc. 2009;53(4):311–8.
Dimon JH. Isolated fractures of the lesser trochanter. Clin Orthop. 1972;82:144–8.
Johnston C et al. Iliopsoas bursitis and tendinitis. Sports Med. 1998;25:271–83.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Bouvard, M., Roger, B., Laffond, J., Lippa, A., Tassery, F. (2017). Iliopsoas Muscles Injuries. In: Roger, B., Guermazi, A., Skaf, A. (eds) Muscle Injuries in Sport Athletes. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-43344-8_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-43344-8_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43342-4
Online ISBN: 978-3-319-43344-8
eBook Packages: MedicineMedicine (R0)