Citation, DOI, disclosures and article data
Citation:
Knipe H, Abdeldjalil B, Bilodeau L, et al. Iliopsoas bursitis. Reference article, Radiopaedia.org (Accessed on 25 Mar 2025) https://doi.org/10.53347/rID-61475
Iliopsoas bursitis usually presents as non-specific anterior hip pain and can be due to a number of causes, the three main causes being acute trauma, overuse injuries, and rheumatoid arthritis.
Iliopsoas bursitis can occur primarily, e.g. overuse, secondary to a snapping iliopsoas tendon, post-hip arthroplasty. The iliopsoas bursa frequently communicates with the hip joint and intra-articular pathology (e.g. osteoarthritis, rheumatoid arthritis) can result in an iliopsoas bursitis 1,2.
Other causes include trauma, osteonecrosis, synovial chondromatosis, tenosynovial giant cell tumour, gout, and pyogenic infection 4.
Ultrasound
well-defined thin-walled fluid collection along the line of the iliopsoas tendon 1
contents can be homogeneous or heterogeneous 1
may be superior to other modalities in showing a septations 5.
MRI
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1. Lungu E, Michaud J, Bureau N. US Assessment of Sports-Related Hip Injuries. Radiographics. 2018;38(3):867-89. doi:10.1148/rg.2018170104 - Pubmed
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2. Mark D. Bracker. The 5 Minute Sports Medicine Consult. (2018) ISBN: 9780781730457
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3. Peter H. Seidenberg MD, FAAFP, FACSM, RMSK, Jimmy D. Bowen MD, FAAPMR, CAQSM, RMSK, CSCS, David J. King MD. The Hip and Pelvis in Sports Medicine and Primary Care. (2016) ISBN: 9783319427881 - Google Books
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4. Varma D, Richli W, Charnsangavej C, Samuels B, Kim E, Wallace S. MR Appearance of the Distended Iliopsoas Bursa. AJR Am J Roentgenol. 1991;156(5):1025-8. doi:10.2214/ajr.156.5.2017926 - Pubmed
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5. Wunderbaldinger P, Bremer C, Schellenberger E, Cejna M, Turetschek K, Kainberger F. Imaging Features of Iliopsoas Bursitis. Eur Radiol. 2002;12(2):409-15. doi:10.1007/s003300101041 - Pubmed
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6. Kim S, Shin M, Kim K et al. Imaging Features of Ischial Bursitis with an Emphasis on Ultrasonography. Skeletal Radiol. 2002;31(11):631-6. doi:10.1007/s00256-002-0573-1 - Pubmed
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7. Skiadas V, Koutoulidis V, Plotas A. An Atypical Case of Noninfected Iliopsoas Bursitis - MRI Findings. J Radiol Case Rep. 2009;3(10):15-8. doi:10.3941/jrcr.v3i10.326 - Pubmed
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8. Johnston C, Wiley J, Lindsay D, Wiseman D. Iliopsoas Bursitis and Tendinitis. A Review. Sports Med. 1998;25(4):271-83. doi:10.2165/00007256-199825040-00005 - Pubmed
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9. Anderson C. Iliopsoas: Pathology, Diagnosis, and Treatment. Clin Sports Med. 2016;35(3):419-33. doi:10.1016/j.csm.2016.02.009 - Pubmed
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10. Bianchi S, Martinoli C, Keller A, Bianchi-Zamorani M. Giant Iliopsoas Bursitis: Sonographic Findings with Magnetic Resonance Correlations. J Clin Ultrasound. 2002;30(7):437-41. doi:10.1002/jcu.10093 - Pubmed
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