Iliopsoas Tendon Injury In an Adolescent: A Case Report

Yuko Kobashi*, Takuya Suzuki, Yoko Tazawa, Yohei Munetomo, Akira Baba, Sinji Yamazoe, Takuji Mogami

Iliopsoas Tendon Injury In an Adolescent: A Case Report.

The iliopsoas tendon acts a thigh flexor and aids in lateral rotation of the hip. The Iliopsoas injuries are generally considered uncommon. Especially, in children and adolescents, the Iliopsoas injury usually occurs in conjunction with avulsion of the lesser trochanter. We report a rare case of a partial tear of the left psoas major tendon in an adolescent patient. The authors obtain written informed consent from the patient for submission of this manuscript for publication.

A 14-year-old-male who had a left inguinal pain came to our hospital for consultation. The injury occurred when he was earlier playing a basketball game and turned on a pivot, he suddenly felt left inguinal pain. He is 170 cm tall; 50 kg in weight and has no history of trauma or disease. He has been playing basketball for 5 years at school and plays it for 4 hours every day. On physical examination, there was severe tenderness present in the left inguinal region. Also, there was no erythema. He could not move his left hip joint by himself.

Neurological examination revealed no motor or sensory deficits with normal reflexes. The laboratory findings were normal. Hip radiograph showed no abnormality (Figure 1). On MRI, the left psoas major tendon showed up as swollen and was separated from the left iliacus tendon on STIR axial image when compared to the right side (Figure 2). It shows high signal intensity in that area suggestive of hematoma, this is shown between the psoas major muscle and iliacus muscle.

Sport Exerc Med Open J. 2016; 1(6): 198-200. doi: 10.17140/SEMOJ-1-130