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Published in: European Radiology 11/2005

01-11-2005 | Musculoskeletal

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

Authors: Frederic E. Lecouvet, Xavier Demondion, Thibaut Leemrijse, Bruno C. Vande Berg, Jean-Pierre Devogelaer, Jacques Malghem

Published in: European Radiology | Issue 11/2005

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Abstract

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.
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Metadata
Title
Spontaneous rupture of the distal iliopsoas tendon: clinical and imaging findings, with anatomic correlations
Authors
Frederic E. Lecouvet
Xavier Demondion
Thibaut Leemrijse
Bruno C. Vande Berg
Jean-Pierre Devogelaer
Jacques Malghem
Publication date
01-11-2005
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2005
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2811-0

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