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Iliopsoas Tendinitis M76.10 726.5

 

synonyms: iliopsoas tendinosis, anterior iliopsoas tendinitis

Iliopsoas Tendinitis ICD-10

  • M76.10 - Psoas tendinitis, unspecified hip
  • M76.11 - Psoas tendinitis, right hip
  • M76.12 - Psoas tendinitis, left hip

Iliopsoas Tendinitis ICD-9

  • ICD-9 = 726.5

Iliopsoas Tendinitis Etiology / Epidemiology / Natural History

Anterior iliopsoas impingement can cause groin pain and functional disability after total hip arthroplasty.  

Iliopsoas Tendinitis Anatomy

Iliopsoas Tendinitis Clinical Evaluation

  • Groin pain with or without snapping over the anterior hip.
  • Pain is exacerbated by hip ROM and resistive hip flexion.
  • Pain with stair climbing, anterior goin pain with straight leg raising.
  • Tenderness over iliopsoas tendon.

Iliopsoas Tendinitis Xray / Diagnositc Tests

  • A/P pelvis, A/P and lateral of affected hip generally normal.
  • Dynamic ultrasound can confirm snapping of iliopsoas tendon if present.
  • MRI generally indicated to rule out other pathologic conditions.
  • Consider confirmatory diagnostic injection.

Iliopsoas Tendinitis Classification / Treatment

  • Rest, activity modifications, avoidance of snapping, stretching and strengthening of the ioliopsoas and iliotibial band, and NSAIDs.
  • Surgical treatment: release or resection of the iliopsoas tendon, alone or in combination with acetabular revision for an anterior overhanging component.

Iliopsoas Tendinitis Associated Injuries / Differential Diagnosis

Iliopsoas Tendinitis Complications

Iliopsoas Tendinitis Follow-up Care

Iliopsoas Tendinitis Review References

Lachiewicz PF, J Am Acad Orthop Surg. 2009 Jun;17(6):337-44.

Trousdale RT, Cabanela ME, Berry DJ: Anterior iliopsoas impingement after total hip arthroplasty. J Arthroplasty 1995;10:546-549. 
Malik A, Maheshwari A, Dorr LD: Impingement with total hip replacement. J Bone Joint Surg Am 2007;89:1832-1842. 
Heaton K, Dorr LD: Surgical release of iliopsoas tendon for groin pain after total hip arthroplasty. J Arthroplasty 2002;17:779-781. 
Dora C, Houweling M, Koch P, et al: Iliopsoas impingement after total hip replacement: The results of non-operative management, tenotomy or acetabular revision. J Bone Joint Surg Br 2007;89:1031-1035.