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Sonographic evaluation of the distal iliopsoas tendon using a new approach
Ramon Balius1, Carles Pedret2, Marc Blasi1
1Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
Abstract:
Sonography of the iliopsoas tendon plays an important role in the diagnosis and preoperative and postoperative management for the increasing number of patients under consideration for arthroscopically guided hip interventions such as iliopsoas tenotomy in a variety of conditions, including arthropathy, periarticular calcifications, and cam-type deformities of the femoral head. The ability to visualize the iliopsoas tendon pre-operatively can be helpful diagnostically in patients presenting with hip pain and can aid in planning surgery, while evaluating the tendon postoperatively is important in the assessment of causes of postoperative pain and other potential complications. We present a novel technique for visualizing the distal iliopsoas tendon complex in the longitudinal axis at its insertion on the lesser trochanter on sonography.
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