دورية أكاديمية

The Iliopsoas: Anatomy, Clinical Evaluation, and Its Role in Hip Pain in the Athlete: A Scoping Review.

التفاصيل البيبلوغرافية
العنوان: The Iliopsoas: Anatomy, Clinical Evaluation, and Its Role in Hip Pain in the Athlete: A Scoping Review.
المؤلفون: Tramer JS; From the Department of Orthopedic Surgery, Cleveland Clinic Foundation, Division of Sports Medicine, Cleveland, OH (Dr. Tramer), the Department of Orthopedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Copenhagen University Hospital, Hvidovre, Denmark, (Dr. Holmich), Department of Clinical, Medicine, University of Copenhagen, Copenhagen, Denmark (Dr. Holmich) and the Department of Orthopaedic Surgery, Stanford University, Redwood City, CA (Dr. Safran)., Holmich P, Safran MR
المصدر: The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2024 Jul 01; Vol. 32 (13), pp. e620-e630. Date of Electronic Publication: 2024 Mar 19.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9417468 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1940-5480 (Electronic) Linking ISSN: 1067151X NLM ISO Abbreviation: J Am Acad Orthop Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Philadelphia : Wolters Kluwer
Original Publication: Rosemont, IL : American Academy of Orthopaedic Surgeons, c1993-
مواضيع طبية MeSH: Psoas Muscles*/diagnostic imaging , Psoas Muscles*/physiopathology , Hip Joint*/physiopathology , Hip Joint*/diagnostic imaging, Humans ; Athletes ; Arthralgia/etiology ; Arthralgia/physiopathology ; Magnetic Resonance Imaging ; Biomechanical Phenomena ; Tendons/physiopathology ; Tendons/anatomy & histology ; Tendinopathy/physiopathology ; Tendinopathy/diagnostic imaging ; Athletic Injuries/physiopathology ; Athletic Injuries/diagnosis
مستخلص: Disability due to iliopsoas (IP) pain and dysfunction is underdiagnosed in the athletic population. The IP unit consists of the psoas major and iliacus muscles converging to form the IP tendon and is responsible primarily for hip flexion strength but has a number of secondary contributions such as femoral movement, trunk rotation, core stabilization, and dynamic anterior stability to the hip joint. As the IP passes in front of the anterior acetabulum and labrum, the diagnosis of IP pain may be confused with labral tearing seen on magnetic resonance imaging. This is in addition to the low sensitivity of magnetic resonance imaging to detect IP tendinitis and bursitis. Resisted seated hip flexion as well as direct palpation of the IP tendon and muscle belly are useful to assess function and help determine whether the IP may be the source of pain, which is common in athletes. Both biomechanical and clinical investigations have demonstrated the role of IP as an anterior hip stabilizer. Patients with signs of hip microinstability, developmental dysplasia of the hip, and increased femoral anteversion are at risk of IP pain and poor outcomes after IP lengthening, highlighting the importance of the IP in providing dynamic anterior hip stability.
(Copyright © 2024 by the American Academy of Orthopaedic Surgeons.)
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تواريخ الأحداث: Date Created: 20240319 Date Completed: 20240614 Latest Revision: 20240618
رمز التحديث: 20240619
DOI: 10.5435/JAAOS-D-23-01166
PMID: 38502896
قاعدة البيانات: MEDLINE
الوصف
تدمد:1940-5480
DOI:10.5435/JAAOS-D-23-01166