Variety of Clinical Manifestations of Rupture of Iliopsoas Muscle Belly

• Authors: Maciej Paruzel , Jerzy Jabłecki , Karol Całka
• Languages of publication: EN

Abstracts

EN

Three patients are presented who sustained a lesion of iliopsoas muscle belly accompanied by intramuscular haematoma. Diagnosis was stated by means of CT scans. The accident such as fall of the stairs was the cause of the lesion in only two patients. The clinical manifestation of the illness significantly differed in symptoms such as: presence of subcutaneous haematomas, muscle tension, extent of pain, a drop of hemoglobin serum - level and others. The common feature of this mutilation was the maximal localization of the pain at the groin region of the affected side, difficulties in thigh dorsiflexion and external rotation as well as subsiding of symptoms after short-term conservative treatment. The characteristic of this rarely-diagnosed mutilation was analyzed on the basis of medical literature.

Keywords

EN

abdominal trauma; lesion of ilio-lumbal muscle; muscle tension

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2009
• Volume: 81
• Issue: 8
• Pages: 354-358

Dates

published

1 - 8 - 2009

online

22 - 10 - 2010

Contributors

author

Maciej Paruzel

• Subdepartment of Replantation of Limbs, General Surgery Department, St Hedwig of Silesia Hospital in Trzebnica

author

Jerzy Jabłecki

• Subdepartment of Replantation of Limbs, General Surgery Department, St Hedwig of Silesia Hospital in Trzebnica

author

Karol Całka

• FANTOM Diagnostic Center

References

• Bochenek A, Reicher M: Anatomia człowieka. Tom I. Wydawnictwo Lekarskie PZWL, Warszawa 1990.
• Lewit K: Manipulative Therapy in Rehabilitation of the Locomotor System. Butterworth-Heinemann, Oxford 1991.
• Nguyen JT, Peterson JS, Biswal S et al.: Stress-related injuries around the lesser trochanter in long-distance runners. AJR Am J Roentgenol 2008; 190(6): 1616-20.[Crossref]
• Biundo JJ Jr, Irwin RW, Umpierre E: Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes. Curr Opin Rheumatol 2001; 13(2): 146-49.[Crossref][PubMed]
• Fujioka M, Yoshida S, Kitamura R et al.: Iliopsoas muscle abscess secondary to sacral pressure ulcer treated with computed tomographyguided aspiration and continuous irrigation: a case report. Ostomy Wound Manage 2008; 54(8): 44-48.
• Dauty M, Sigaud M, Trossaërt M et al.: Iliopsoas hematoma in patients with hemophilia: a single-center study. Joint Bone Spine 2007; 74(2): 179-83.[Crossref][WoS]
• Muttarak M, Peh WC: CT of unusual iliopsoas compartment lesions. Radiographics 2000; 20 Spec No: S53-66.[Crossref]
• Maffulli N, So WS, Ahuja A et al.: Iliopsoas haematoma in an adolescent Taekwondo player. Knee Surg Sports Traumatol Arthrosc 1996; 3(4): 230-33.[Crossref]
• Bui KL, Ilaslan H, Recht M et al.: Iliopsoas injury: an MRI study of patterns and prevalence correlated with clinical findings. Skeletal Radiol 2008; 37(3): 245-49.[WoS][Crossref]
• Cronin CG, Lohan DG, Meehan CP et al.: P. Anatomy, pathology, imaging and intervention of the iliopsoas muscle revisited. Emerg Radiol 2008; 15(5): 295-310.[Crossref]
• Murakami T, Nobukawa Y, Tabata M et al.: Two cases of atraumatic iliopsoas hematoma. Masui 2007; 56(10): 1214-16.
• Berlusconi M, Capitani D: Post-traumatic hematoma of the iliopsoas muscle with femoral nerve entrapment: description of a rare occurrence in a professional cyclist. Ital J Orthop Traumatol 1991; 17(4): 563-66.
• Kohaus H, Peters P, Strunk E: Rupture of the iliopsoas muscle. Symptoms and differential diagnosis (author's transl). Unfallheilkunde 1980; 83(3): 127-29.
• Mozes M, Papa MZ, Zweig A et al.: Iliopsoas injury in soccer players. Br J Sports Med 1985; 19(3): 168-70.[Crossref]
• Morelli V, Smith V: Groin injuries in athletes. Am Fam Physician 2001; 64(8): 1405-14.[PubMed]

Identifiers

DOI

10.2478/v10035-009-0059-0