http://www.fpnotebook.com/

Iliopsoas StrainAka: Iliopsoas Bursitis

See Also
1. Groin Injuries in Athletes
Pathophysiology
1. Iliopsoas bursa
  1. Between psoas muscle and femoral head
2. Bursa irritated by overuse and friction
  1. Tendon rubs against pubic iliopectineal eminence
Predisposing factors: Sports with hip flexor use
1. Soccer
2. Ballet
3. Uphill Running
4. Hurdling
5. Jumping
Symptoms
1. Deep Groin Pain
2. Pain radiates to anterior hip or thigh
3. Limp may occur
Signs
1. Difficult to diagnose (delayed often >31 months)
2. Pain on deep palpation of femoral triangle
  1. Lateral to femoral nerve
  2. Inferior to inguinal ligament
  3. Medial to sartorius muscle
3. Provocative maneuvers
  1. Extension of affected hip
  2. Supine patient raises heels off table to 15 degrees
  3. Strains iliopsoas muscle
Associated Conditions
1. Snapping Hip Syndrome
Radiology
1. MRI hip shows fluid adjacent to muscle
Management
1. Conservative management
  1. Relative rest
  2. Hip flexor stretches and strengthening
  3. Hip rotator stretches and strengthening
2. Image guided Corticosteroid Injection may offer relief
3. Surgical management rarely indicated
References
1. Johnston (1998) Sports Med 25:271
2. Morelli (2001) Am Fam Physician 64(8):1405

Navigation Tree

Please see the Terms and Conditions. Please also see the privacy statement regarding advertising on this page. Although access to this page is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.

This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.