Iliopsoas Tendinitis Follow-up

  • Author: Joseph P Garry, MD, FACSM, FAAFP; Chief Editor: Sherwin SW Ho, MD   more...
 
Updated: Dec 14, 2011
 

Return to Play

Return to play is allowed once the patient is free of pain and has demonstrated adequate flexibility and strength of the hip flexors and antagonist muscle groups. Performance of pain-free, sports-specific activities should be required.

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Complications

Recurrence of tendinitis is a potential complication. Possibility of residual weakness in individuals selected to receive surgical management is another potential complication.

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Prevention

As in most cases of musculotendinous injury, the best prevention is a focused flexibility and strengthening program, which should include, at a minimum, the hip flexors, hip extensors, knee flexors, knee extensors, and abdominal musculature.

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Education

For excellent patient education resources, visit eMedicine's Foot, Ankle, Knee, and Hip Center, Sports Injury Center, and Arthritis Center. Also, see eMedicine's patient education articles Tendinitis and Bursitis.

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Contributor Information and Disclosures
Author

Joseph P Garry, MD, FACSM, FAAFP  Associate Professor, Sports Medicine Faculty, Department of Family and Community Medicine, University of Minnesota Medical School

Joseph P Garry, MD, FACSM, FAAFP is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Heart Association, American Medical Society for Sports Medicine, and North American Primary Care Research Group

Disclosure: Nothing to disclose.

Coauthor(s)

Kathleen M Walsh, EdD, ATC, LAT  Director of Sports Medicine and Athletic Training, Assistant Professor, Department of Health Education and Promotion, East Carolina University

Disclosure: Nothing to disclose.

Specialty Editor Board

Leslie Milne, MD  Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine

Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Jon B Whitehurst, MD  Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital

Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD  Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, and Herodicus Society

Disclosure: Breg, Inc. Consulting fee Consulting; Biomet, Inc. Consulting fee Consulting; GMV, Inc. Arthroscopy Simulator Evaluation and teaching; Smith and Nephew Grant/research funds Fellowship funding; DJ Ortho Grant/research funds Course funding; Athletico Physical Therapy Grant/research funds Course, research funding

References

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  2. Ilizaliturri VM Jr, Camacho-Galindo J. Endoscopic treatment of snapping hips, iliotibial band, and iliopsoas tendon. Sports Med Arthrosc. Jun 2010;18(2):120-7. [Medline].

  3. Gruen GS, Scioscia TN, Lowenstein JE. The surgical treatment of internal snapping hip. Am J Sports Med. Jul-Aug 2002;30(4):607-13. [Medline].

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  5. Ilizaliturri VM Jr, Chaidez C, Villegas P, Briseno A, Camacho-Galindo J. Prospective randomized study of 2 different techniques for endoscopic iliopsoas tendon release in the treatment of internal snapping hip syndrome. Arthroscopy. Feb 2009;25(2):159-63. [Medline].

  6. Dobbs MB, Gordon JE, Luhmann SJ, Szymanski DA, Schoenecker PL. Surgical correction of the snapping iliopsoas tendon in adolescents. J Bone Joint Surg Am. Mar 2002;84-A(3):420-4. [Medline].

  7. Byrd JW. Hip arthroscopy. J Am Acad Orthop Surg. Jul 2006;14(7):433-44.

  8. Anderson SA, Keene JS. Results of arthroscopic iliopsoas tendon release in competitive and recreational athletes. Am J Sports Med. Dec 2008;36(12):2363-71. [Medline].

  9. De Paulis F, Cacchio A, Michelini O, Damiani A, Saggini R. Sports injuries in the pelvis and hip: diagnostic imaging. Eur J Radiol. May 1998;27 Suppl 1:S49-59. [Medline].

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  11. Generini S, Matucci-Cerinic M. Iliopsoas bursitis in rheumatoid arthritis. Clin Exp Rheumatol. Sep-Oct 1993;11(5):549-51. [Medline].

  12. Geraci MC. Rehabilitation of the hip, pelvis, and thigh. In: Kibler WB, Herring SA, Press JM, eds. Functional Rehabilitation of Sports and Musculoskeletal Injuries. Philadelphia, Pa: Lippincott Williams & Wilkins; 1998:226-243.

  13. Jacobs M, Young R. Snapping hip phenomenon among dancers. Am Correct Ther J. May-Jun 1978;32(3):92-8. [Medline].

  14. Jacobson T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med. Sep-Oct 1990;18(5):470-4. [Medline].

  15. Janzen DL, Partridge E, Logan PM, Connell DG, Duncan CP. The snapping hip: clinical and imaging findings in transient subluxation ofthe iliopsoas tendon. Can Assoc Radiol J. Jun 1996;47(3):202-8. [Medline].

  16. Johnston CA, Wiley JP, Lindsay DM, Wiseman DA. Iliopsoas bursitis and tendinitis. A review. Sports Med. Apr 1998;25(4):271-83. [Medline].

  17. Khan K, Cook JL, Maffulli N. Tendinopathy in the active person: Separating fact from fiction to improve clinical management. Am J Med Sports. 2000;2(2):89-99.

  18. Lachiewicz PF, Kauk JR. Anterior iliopsoas impingement and tendinitis after total hip arthroplasty. J Am Acad Orthop Surg. Jun 2009;17(6):337-44. [Medline].

  19. Reid DC. Prevention of hip and knee injuries in ballet dancers. Sports Med. Nov 1988;6(5):295-307. [Medline].

  20. Renström P, Peterson L. Groin injuries in athletes. Br J Sports Med. Mar 1980;14(1):30-6. [Medline].

  21. Shin AY, Morin WD, Gorman JD, Jones SB, Lapinsky AS. The superiority of magnetic resonance imaging in differentiating the causeof hip pain in endurance athletes. Am J Sports Med. Mar-Apr 1996;24(2):168-76. [Medline].

  22. Tatu L, Parratte B, Vuillier F, Diop M, Monnier G. Descriptive anatomy of the femoral portion of the iliopsoas muscle. Anatomicalbasis of anterior snapping of the hip. Surg Radiol Anat. 2001;23(6):371-4. [Medline].

  23. Taylor GR, Clarke NM. Surgical release of the 'snapping iliopsoas tendon'. J Bone Joint Surg Br. Nov 1995;77(6):881-3. [Medline].

 
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Iliopsoas stretch.
Iliopsoas stretch in external rotation.
Rectus femoris stretch.
Hamstring curl with cuff weight for strengthening.
Iliopsoas strengthening with cuff weight.
Hip flexion (straight-leg raising) strengthening with cuff weight.
External rotation strengthening with cuff weight.
External rotation strengthening with elastic band resistive device.
Sit-ups with hips and knees in 90° of flexion.
Standing hip extension strengthening with elastic band resistive device.
Four-way hip marching (standing hip flexion).
Prone hamstring curls.
Seated hamstring curls.
Lunges.
 
 
 
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