Iliopsoas Tendon Injury In an Adolescent: A Case Report
Journal Title: Sports and Exercise Medicine – Open Journal - Year 2016, Vol 1, Issue 6
Abstract
Background: The Iliopsoas tendon injuries are generally considered uncommon. Especially in children and adolescents, the iliopsoas injury usually occurs in conjunction with avulsion of the lesser trochanter. We reported a rare case of a partial tear of the left psoas major tendon in an adolescent patient. Case Report: A 14-year-old-male who had a left inguinal pain came to our hospital for consultation. The injury occurred earlier when he was playing a basketball game he turned on a pivot and he suddenly felt left inguinal pain. As a result of the sudden pain caused by the movement he could not move his left hip joint by himself. Neurological examination revealed no motor or sensory deficits with normal reflexes. On the MRI, the left psoas major tendon showed up as swollen and was separated from the left iliacus tendon when compared to the right side. The left psoas major tendon and myotendinous junction showed high signal intensity suggestive of a partial tear on STIR axial image. The lesser trochanter showed slightly high signal intensity when compared to the opposite side but showed no evidence of an avulsion fracture. Conclusion: The Iliopsoas tendon injuries without lesser trochanteric avulsion in children and adolescents are distinctly uncommon. There is an estimated prevalence of 0.66%. In future we would suggest, we need to evaluate both the lessor trochanter and the insertion of the iliopsoas tendon to rule out lesser trochanter avulsion on the MRI.
Authors and Affiliations
Yuko Kobashi
Keywords
Related Articles
- EP ID EP546594
- DOI 10.17140/SEMOJ-1-130
- Views 122
- Downloads 0
Relationship between Elite Women’s Wheelchair Basketball Skills Testing and Future Success in the Sport
Introduction Wheelchair basketball practices are built around developing technical and tactical skills required in game situations. To assess the performance of these skills, testing protocols have been developed. This a...
The Importance of Measuring Body Composition in Professional Football Players: A Commentary
Professional football players are not considered to be excessively fat, but there is continuous pressure made by managers, coaches and physiotherapists to monitor player’s body composition to help reach optimal performan...
The Gluteus Medius Activation in Female Indoor Track Runners is Asymmetrical and may be Related to Injury Risk
Track runners train and compete solely in the counter clockwise direction around the track. These repetitive motions place track runners at risk of “over-use” injury, but strength differences place females at greater ris...
A Proposal for Functional Screening of the Throwing Kinetic Chain in Baseball Pitchers to Assess Shoulder and Elbow Injury Risk
Overhead throwing athletes are susceptible to overuse injuries in the upper extremity, specifically of the shoulder and elbow. These injuries can include rotator cuff tears, labral tears, and ulnar collateral ligament sp...
The Threshold of Physical Fitness in terms of Maximum Oxygen Uptake as a Predictive Factor for Achieving Prosthetic Walking in Elderly with Unilateral Trans-femoral Amputation or Hip Disarticulation
The aim of this study was to determine the threshold of physical fitness level in terms of maximum oxygen uptake as an important predictive factor for achieving prosthetic walking in elderly with unilateral trans-femoral...