title: Sonographic evaluation of the distal iliopsoas tendon using a new approach.
abstract: Sonography of the iliopsoas tendon plays an important role in the diagnosis and preoperative and postoperative management for the increasing number of patients under consideration for arthroscopically guided hip interventions such as iliopsoas tenotomy in a variety of conditions, including arthropathy, periarticular calcifications, and cam-type deformities of the femoral head. The ability to visualize the iliopsoas tendon pre-operatively can be helpful diagnostically in patients presenting with hip pain and can aid in planning surgery, while evaluating the tendon postoperatively is important in the assessment of causes of postoperative pain and other potential complications. We present a novel technique for visualizing the distal iliopsoas tendon complex in the longitudinal axis at its insertion on the lesser trochanter on sonography.
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Ramon
authors.initials: R
authors.lastname: Balius
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.). carlespedret@gmail.com.
authors.forename: Carles
authors.initials: C
authors.lastname: Pedret
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Marc
authors.initials: M
authors.lastname: Blasi
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Maribel
authors.initials: M
authors.lastname: Miguel
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Beatriz
authors.initials: B
authors.lastname: Vallejo
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Eric
authors.initials: E
authors.lastname: Margalet
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: David A
authors.initials: DA
authors.lastname: Bong
authors.affiliation: Catalan Sport Council, Generalitat de Catalunya, Barcelona, Spain (R.B.); Clínica Diagonal, Barcelona, Spain (R.B., C.P.); Centre de Diagnòstic per la Imatge de Tarragona, Tarragona, Spain (C.P.); Clínica Mapfre de Medicina del Tenis, Barcelona, Spain (C.P.); Department of Fundamental Care and Medical-Surgical Nursing, University School of Nursing, Bellvitge Health Sciences Campus, University of Barcelona, Barcelona, Spain (M.B.); Human Anatomy and Embryology Unit, Department of Experimental Pathology and Therapeutics, Faculty of Medicine, Bellvitge Campus, University of Barcelona, Barcelona, Spain (M.M.); Institut Margalet de Cirurgia Artroscòpica i Traumatologia, Barcelona, Spain (B.V., E.M.); Instituto Poal de Reumatologia, Barcelona, Spain (D.A.B.); and Department of Radiology, Dipartmento di Discipline Chirurgiche, Morfologiche e Metodologie Integrate, University of Genoa, Genoa, Italy (C.M.).
authors.forename: Carlo
authors.initials: C
authors.lastname: Martinoli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059925:Anatomic Landmarks / Q000000981:diagnostic imaging*; D002102:Cadaver; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning / Q000379:methods*; D016658:Psoas Muscles / Q000000981:diagnostic imaging; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D052256:Tendinopathy / Q000000981:diagnostic imaging*; D013710:Tendons / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000379:methods*; D055815:Young Adult
keywords: hip arthroscopy; iliopsoas tendon; musculoskeletal ultrasound; sonography