Iliopsoas: Pathology, Diagnosis, and Treatment

Clin Sports Med. 2016 Jul;35(3):419-433. doi: 10.1016/j.csm.2016.02.009. Epub 2016 Mar 28.


Disorders of the iliopsoas can be a significant source of groin pain in the athletic population. Commonly described pathologic conditions include iliopsoas bursitis, tendonitis, impingement, and snapping. The first-line treatment for iliopsoas disorders is typically conservative, including activity modification, physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections. Surgical treatment can be considered if the patient fails conservative measures and typically involves arthroscopic lengthening of the musculotendinous unit and treatment of concomitant intra-articular abnormality. Tendon release has been described: in the central compartment, in the peripheral compartment, and at the lesser trochanter, with similar outcomes observed between the techniques.

Keywords: Coxa saltans interna; Iliopsoas; Iliopsoas bursitis; Iliopsoas impingement; Iliopsoas tendinitis; Psoas; Snapping hip.

Publication types

  • Review

MeSH terms

  • Arthroscopy*
  • Bursitis / diagnosis
  • Bursitis / surgery
  • Hip Joint / physiopathology
  • Hip Joint / surgery*
  • Humans
  • Psoas Muscles / physiopathology
  • Tendinopathy / diagnosis
  • Tendinopathy / surgery
  • Tendons / physiopathology
  • Tendons / surgery*
  • Tenotomy / methods*