title: Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly.
abstract: Hip pain is one of the most common reasons for the elderly to present to the emergency department, and the differential diagnosis spectrum is vast. Iliopsoas injury is a relatively uncommon condition that may present with hip or groin pain. It is usually seen in athletes due to trauma, particularly flexion injuries. However, spontaneous iliopsoas tendon tear is extremely rare, and only a small number of cases have been reported; it has an estimated prevalence of 0.66% in individuals from 7 to 95 years. Risk factors include aging, use of steroids, and chronic diseases. Magnetic resonance imaging (MRI) using its high soft-tissue contrast resolution remains the most valuable imaging modality. A prompt diagnosis and treatment, which is usually conservative, is important to improve the quality of life in this group of patients. We describe a case of spontaneous iliopsoas tendon tear in an elderly woman.
authors.affiliation: Department of Medicine, Einstein Medical Center, Philadelphia, PA, USA.
authors.forename: Manolo
authors.initials: M
authors.lastname: Rubio
authors.affiliation: Department of Medicine, Einstein Medical Center, Philadelphia, PA, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Rodriguez
authors.affiliation: Department of Medicine, Einstein Medical Center, Philadelphia, PA, USA.
authors.forename: Soumya
authors.initials: S
authors.lastname: Patnaik
authors.affiliation: Department of Radiology, Einstein Medical Center, Philadelphia, PA, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Wang
keywords: MRI; elderly; geriatrics; hip pain; iliopsoas; tendon rupture