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Spontaneous rupture of the distal iliopsoas tendon: clinical and imaging findings, with anatomic correlations.

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Lecouvet, Frédéric [UCL] Demondion, Xavier Leemrijse, Thibaut Vande Berg, Bruno [UCL] Devogelaer, Jean-Pierre [UCL] Malghem, Jacques [UCL]

We report the clinical and imaging findings in two elderly female patients with spontaneous rupture of the distal iliopsoas tendon from the lesser trochanter of the femur. We emphasize the key contribution of magnetic resonance (MR) imaging to this diagnosis and provide an anatomic correlation. Spontaneous rupture of the distal iliopsoas tendon should be kept in mind in the differential diagnosis of acute groin pain in the elderly. MR imaging enables positive diagnosis, by showing mass effect on the anterior aspect of the hip joint, proximal muscle thickening, and abnormal signal intensity, and by demonstrating interruption of the psoas tendon, whereas the distal insertion of the lateral portion of the iliacus muscle remains muscular and is preserved.

Document type Article de périodique (Journal article) – Case Reports, Journal Article
Access type Accès restreint
Publication date 2005
Journal information "European radiology" - Vol. 15, no. 11, p. 2341-6 (2005)
Peer reviewed yes
issn 0938-7994
Publication status Publié
Affiliation UCL - MD/RAIM - Département de radiologie et d'imagerie médicale
MESH Subject Aged ; Aged, 80 and over ; Female ; Humans ; Magnetic Resonance Imaging ; Musculoskeletal Diseases - diagnosis ; Psoas Muscles ; Rupture, Spontaneous ; Tendons - pathology
Links
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Bibliographic reference Lecouvet, Frédéric ; Demondion, Xavier ; Leemrijse, Thibaut ; Vande Berg, Bruno ; Devogelaer, Jean-Pierre ; et. al. Spontaneous rupture of the distal iliopsoas tendon: clinical and imaging findings, with anatomic correlations.. In: European radiology, Vol. 15, no. 11, p. 2341-6 (2005)
Permanent URL http://hdl.handle.net/2078.1/10224