Sonographic Evaluation of the Distal Iliopsoas Tendon Using a New Approach

Balius, Ramón; Pedret, Carles; Blasi, Marc; Miguel, Maribel; Vallejo, B.; Margalet, Eric; Bong, David; Martinoli, Carlo

doi:10.7863/ultra.33.11.2021

Cited by 17 publications

(17 citation statements)

References 13 publications

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“…Balius et al 42 described the use of the ultrasonography in visualising the iliopsoas tendon preoperatively as well as postoperatively. They demonstrated that the FABER position increases the sonographic tendon exposure and is significantly superior to the classic method of examination (simple abduction and external rotation).…”

Section: Investigationsmentioning

confidence: 99%

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

et al. 2019

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Introduction: Iliopsoas impingement occurs secondary to a tight iliopsoas tendon that causes impingement during movement. This review presents current aspects regarding the diagnosis of iliopsoas impingement and also exposes the readers to the possible anatomic and clinical variations together with the available treatment options. Methods: We conducted a narrative literature review with regard to non-arthroplasty iliopsoas impingement. Results: Iliopsoas impingement is characterised by a distinct pattern of labral pathology, with anteriorly localised labral damage, that does not extend to the anterosuperior portion of the acetabulum. Anterior groin pain and intermittent catching, snapping or popping of the hip are common symptoms. Non-specific focal tenderness is often found over the iliopsoas tendon at the level of the anterior aspect of the joint. The ‘C-sign’ and Impingment test are usually positive. Dynamic ultrasonography is also useful for confirming the diagnosis. Initial management of painful iliopsoas impingement should be conservative. When patients continue to have pain, an ultrasound-guided injection can provide relief and predict the response to the surgical release. For patients who have recurrent pain after local injection of steroids, arthroscopic release has shown to achieve effective results. Conclusions: Although different treatment options for iliopsoas impingement are emerging, the current standard of therapy is conservative followed by an arthroscopic tenotomy if necessary. Young adult hip surgeons should always keep this differential in mind in a patient presenting with groin pain and mechanical symptoms.

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Section: Investigationsmentioning

confidence: 99%

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

et al. 2019

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“…22 The iliopsoas tendon can be assessed to plan arthroscopically guided hip interventions, to treat periarticular calcifications, and to study cam-type deformities of the femoral head. 23 To better visualize the distal iliopsoas tendon complex in the longitudinal axis at its insertion on the lesser trochanter, it is useful to put the thigh in a flexed and externally rotated position 23 (►Fig. 4).…”

Section: Soft Tissuesmentioning

confidence: 99%

Ultrasound of the Hip Joint, Soft Tissues, and Nerves

Tagliafico

Bignotti

Rossi

et al. 2017

Semin Musculoskelet Radiol

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Ultrasound (US) of the hip is widely used both in children and adults for selected clinical indications. According to the European Society of Musculoskeletal Radiology, hip US is indicated for several clinical conditions involving the joint, soft tissues, and nerves. Hip US indications include fluid detection, synovitis, effusion, and synovial cysts; soft tissue evaluation such as tendinopathy and bursitis; and peripheral nerve pathology of large and small nerves around the hip. In addition, US is an effective imaging modality to guide interventional procedures. This article provides a brief overview of the US scanning technique of the hip and presents some common and less common conditions in which US of the hip is usually performed in adult patients.

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“…The lateral aspect of the iliacus attaches to the proximal femoral diaphysis as a direct muscle attachment [21]. Ultrasound evaluation of the distal aspect of the iliopsoas complex is improved with positioning the hip in flexion, abduction, and external rotation [22].…”

Section: Iliopsoas Complexmentioning

confidence: 99%

Ultrasound of the Groin: Techniques, Pathology, and Pitfalls

Jacobson

Khoury

Brandon

2015

American Journal of Roentgenology

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There are many potential pathologic conditions in a patient with groin symptoms. Because symptoms may be multifactorial and history may be ambiguous or misleading, a protocol-driven evaluation with ultrasound is recommended. The hip joint is evaluated for effusion, synovitis, and labral abnormalities. The muscles and tendons, including the common aponeurosis at the pubic symphysis, are evaluated for tendinosis and tears. Dynamic evaluation should be considered to assess for snapping hip syndrome. Iliopsoas bursal distention and lymph node enlargement are other considerations. Last, inguinal region hernias must be evaluated during the Valsalva maneuver and documented in two orthogonal planes to avoid several important diagnostic pitfalls.

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Sonographic Evaluation of the Distal Iliopsoas Tendon Using a New Approach

Cited by 17 publications

References 13 publications

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

Ultrasound of the Hip Joint, Soft Tissues, and Nerves

Ultrasound of the Groin: Techniques, Pathology, and Pitfalls

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