title: Spontaneous Iliopsoas Tendon Rupture: An Uncommon Cause of Hip Pain in Elderly Patients.
abstract: Iliopsoas tendon rupture is a relatively rare cause of hip pain. It has been described in children, in adults with pathologic avulsion secondary to metastatic disease, and in older individuals with multiple chronic illnesses. We are reporting a case of apparently spontaneous iliopsoas tendon rupture that occurred in an elderly patient presenting with severe debilitating hip pain whose etiology initially was unrecognized. Magnetic resonance imaging of the hip confirmed the diagnosis. This case highlights the importance of considering iliopsoas tear in the differential diagnosis of unexplained acute onset hip pain and illustrates that geriatric patients with this condition can be treated conservatively with satisfactory functional outcome.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Physical Medicine and Rehabilitation, 111 E210 Street, Bronx, NY 10467(∗). Electronic address: moaemam@gmail.com.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Emam
authors.affiliation: Department of Neurology, Montefiore Medical Center, Bronx, NY(†).
authors.forename: Constantine
authors.initials: C
authors.lastname: Farmakidis
authors.affiliation: Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Physical Medicine and Rehabilitation, Bronx, NY(‡).
authors.forename: Se Won
authors.initials: SW
authors.lastname: Lee
authors.affiliation: Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Physical Medicine and Rehabilitation, Bronx, NY(§).
authors.forename: Stanley F
authors.initials: SF
authors.lastname: Wainapel
mesh_terms: D000368:Aged; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009140:Musculoskeletal Diseases / Q000150:complications* / Q000175:diagnosis; D016658:Psoas Muscles; D012422:Rupture, Spontaneous; D013710:Tendons