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DOI:10.2214/AJR.04.1207
AJR 2005; 185:940-943
© American Roentgen Ray Society

Clinical Observations

Diagnostic and Therapeutic Use of Sonography-Guided Iliopsoas Peritendinous Injections

Ronald S. Adler1, Robert Buly2, Regina Ambrose1 and Thomas Sculco2

1 Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
2 Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021.

OBJECTIVE. Our objective was to review our experience performing sonography-guided iliopsoas bursal/peritendinous injections as a diagnostic and therapeutic tool in the workup and treatment of patients with hip pain.

CONCLUSION. Sonography-guided iliopsoas bursal/peritendinous injections are useful in determining the cause of hip pain. They can provide relief to most patients with iliopsoas tendinosis/bursitis after hip replacement. The results of injection alone are not as successful in cases of idiopathic iliopsoas tendinosis/bursitis, but the technique can help determine which patients may benefit from a surgical tendon release.


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