Imaging Hip Problems in Athletes - University of Wisconsin-Madison
Imaging Hip Problems in Athletes - University of Wisconsin-Madison
Imaging Hip Problems in Athletes - University of Wisconsin-Madison
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4/11/2011<br />
Iliacus<br />
Psoas<br />
Snapp<strong>in</strong>g <strong>Hip</strong>: iliopsoas<br />
Most common <strong>in</strong>ternal cause:<br />
►Iliopsoas tendon roll<strong>in</strong>g over the medial part <strong>of</strong><br />
the iliacus muscle onto the superior pubic<br />
ramus<br />
Iliopsoas Tendon<br />
Deslandes et al. AJR 2008;190:576-581<br />
Copyright © 2008 by the American Roentgen Ray Society<br />
Normal iliopsoas tendon<br />
Snapp<strong>in</strong>g Iliopsoas tendon<br />
IPT<br />
Transverse<br />
IPT<br />
Acetabulum<br />
Femoral head<br />
Longitud<strong>in</strong>al<br />
• Pa<strong>in</strong> & audible or<br />
perceived snapp<strong>in</strong>g dur<strong>in</strong>g<br />
hip movement<br />
• Extension <strong>of</strong> flexed<br />
abducted and externally<br />
rotated hip<br />
– abrupt motion <strong>of</strong> iliopsoas<br />
tendon<br />
Iliopsoas bursa <strong>in</strong>jection<br />
Corticosteroid + anesthetic (8ml)<br />
Lateral<br />
needle<br />
Medial<br />
BURSITIS<br />
IP tendon<br />
Acetabular brim<br />
9
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