Iliopsoas Tendon Rupture S73.199A 843.8

ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:hip sprain, groin sprain

Iliopsoas Tendon Rupture ICD-10

A- initial encounter

D- subsequent encounter

S- sequela

Iliopsoas Tendon Rupture ICD-9

  •  843.8 Sprains and strains of the hip and thigh; other specified sites.
  • 843.9 Unspeficied sprain and strain of hip and thigh

Iliopsoas Tendon Rupture ICD-10

  • S76.011 Strain of muscle, fascia and tendon of right hip
  • S76.012 Strain of muscle, fascia and tendon of left hip
  • S76.019 Strain of muscle, fascia and tendon of right hip

Iliopsoas Tendon Rupture Etiology / Epidemiology / Natural History

  •  Uncommon injury
  • Avulsion of lesser trochanter can occur in children or adults with proximal femoral metastatic disease
  • Associated with kicking sports and total hip arthroplasty.  May occur spontaneously in elderly women

Iliopsoas Tendon Rupture Anatomy

  •  Iliopsoas acts as a thigh flexor and aids in lateral rotation of the hip

Iliopsoas Tendon Rupture Clinical Evaluation

  •  Groin, medial thigh pain which is worse with hip flexion and adduction

Iliopsoas Tendon Rupture Xray / Diagnositc Tests

  • AP pelvis and hip films indicated.  Generally normal.  Evaluate for lesser trochanteric avulsion
  • MRI generally require to confirm diagnosis. (Shabshin N, Rosenberg ZS, Cavalcanti CF. MR imaging of iliopsoas musculotendinous injuries. Magn Reson Imaging Clin N Am. 2005; 13(4):705-716).

Iliopsoas Tendon Rupture Classification / Treatment

  • Muscle strain, partial tear, complete tear
  • Treatment = rest, nsaids; consider physical therapy

Iliopsoas Tendon Rupture Associated Injuries / Differential Diagnosis

  •  Femoral Neck fracture

Iliopsoas Tendon Rupture Complications

Iliopsoas Tendon Rupture Follow-up Care

  •  Gradual return to sport when symptom free

Iliopsoas Tendon Rupture Review References