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Iliopsoas bursitis and tendinitis. A review
C A Johnston1, J P Wiley, D M Lindsay
1Faculty of Medicine, Queen's University, Kingston, Ontario, Canada.
Sports Medicine (Auckland, N.Z.)
|May 20, 1998
Summary
Iliopsoas bursitis, also known as iliopsoas syndrome, causes anterior hip pain and snapping hip. Diagnosis relies on history and physical exam, with ultrasound aiding confirmation, but further research is needed for effective treatments.
Area of Science:
- Orthopedics
- Sports Medicine
- Musculoskeletal Imaging
Background:
- Iliopsoas bursitis/tendinitis is an uncommon cause of anterior hip pain and snapping hip.
- Often overlooked, it may be better termed iliopsoas syndrome due to its pathology.
Purpose of the Study:
- To review the current understanding of iliopsoas bursitis/tendinitis diagnosis and management.
- To highlight the need for improved diagnostic and therapeutic strategies.
Main Methods:
- Literature review focusing on diagnostic methods and treatment outcomes.
- Analysis of the role of clinical examination, ultrasound, MRI, and CT imaging.
Main Results:
- Diagnosis is typically achieved through patient history and physical examination.
- Real-time ultrasound can confirm the diagnosis; advanced imaging has limited diagnostic value for bursitis itself.
- Nonoperative and surgical management strategies lack established efficacy and guaranteed success.
Conclusions:
- Iliopsoas bursitis/tendinitis requires further research for both diagnostic accuracy and treatment effectiveness.
- Standardized diagnostic criteria and evidence-based management protocols are needed.